Mr Jeremiah Shane Smith, NP in Chattanooga, TN

Mr Jeremiah Shane Smith, NP is a medicare enrolled "Nurse Practitioner - Acute Care" in Chattanooga, Tennessee. He graduated from nursing school in 2012 and has 13 years of diverse experience with area of expertise as Nurse Practitioner. He is a member of the group practice Memorial Health Partners Foundation, Inc and his current practice location is 605 Glenwood Drive, Suite 105, Chi Memorial Thoracic Oncology Associates, Chattanooga, Tennessee. You can reach out to his office (for appointments etc.) via phone at (423) 495-5864.

Mr Jeremiah Shane Smith is licensed to practice in Tennessee (license number 16902) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1790039188.

Contact Information

	Mr Jeremiah Shane Smith, NP
	605 Glenwood Drive, Suite 105, Chi Memorial Thoracic Oncology Associates, Chattanooga, TN 37404
	(423) 495-5864
	(423) 495-2065

Map and Direction

Provider's Profile

Full Name	Mr Jeremiah Shane Smith
Gender	Male
Speciality	Nurse Practitioner
Experience	13 Years
Location	605 Glenwood Drive, Suite 105, Chattanooga, Tennessee
Accepts Medicare Assignments	Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Mr Jeremiah Shane Smith graduated from nursing school in 2012

NPI Data:

NPI Number: 1790039188
Provider Enumeration Date: 11/07/2012
Last Update Date: 07/21/2022

Medicare PECOS Information:

PECOS PAC ID: 6709039324
Enrollment ID: I20170518002057

Medical Identifiers

Medical identifiers for Mr Jeremiah Shane Smith such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1790039188	NPI	-	NPPES
16902	Other	TN	APN LICENSE

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LA2100X	Nurse Practitioner - Acute Care	APN0000016902 (Tennessee)	Secondary
363LA2100X	Nurse Practitioner - Acute Care	16902 (Tennessee)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Memorial Healthcare System, Inc	Chattanooga, TN	Hospital
Chi Memorial Hospital- Georgia	Fort oglethorpe, GA	Hospital
Hamilton Medical Center	Dalton, GA	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Memorial Health Partners Foundation, Inc	8022919570	408

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Mr Jeremiah Shane Smith allows following entities to bill medicare on his behalf.

Entity Name	Memorial Health Partners Foundation, Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1922053545 PECOS PAC ID: 8022919570 Enrollment ID: O20040116000823

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Mr Jeremiah Shane Smith is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Mr Jeremiah Shane Smith, NP 1949 Gunbarrel Road, Suite 230, Chattanooga, TN 37421 Ph: (423) 495-4349	Mr Jeremiah Shane Smith, NP 605 Glenwood Drive, Suite 105, Chi Memorial Thoracic Oncology Associates, Chattanooga, TN 37404 Ph: (423) 495-5864

Reviews and Comments

Nurse Practitioner Nurses in Chattanooga, TN

Cindy T Gilbert, NP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1200 Pineville Rd, Chattanooga, TN 37405 Phone: 423-265-0063 Fax: 423-263-1060
Ms. Sandra Candece Huggins, FNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1949 Gunbarrel Rd Ste 200, Chattanooga, TN 37421 Phone: 423-498-5980 Fax: 423-498-5981
Misty Gilliland, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1726 Gunbarrel Rd Ste 100, Chattanooga, TN 37421 Phone: 423-954-9010 Fax: 423-510-8561
Lauren A Fox, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 900 E 3rd St, Chattanooga, TN 37403 Phone: 423-778-5437
Lisa Kahana-naipo, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 725 Glenwood Dr Ste E786, Chattanooga, TN 37404 Phone: 423-682-8150 Fax: 423-682-8151
Ms. Chelsey Darlene Benson, DNP, AG-ACNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2501 Citico Ave, Chattanooga, TN 37404 Phone: 423-697-2000 Fax: 423-697-2320
Elizabeth North Fluhrer, FNP-BC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 2515 Desales Ave Ste 206, Chattanooga, TN 37404 Phone: 423-698-8101 Fax: 423-698-3450

Mr Jeremiah Shane Smith, NP - Medicare Nurse Practitioner in Chattanooga, TN