Mrs Carolyn R Smith, APN is a medicare enrolled "Nurse Practitioner - Family" in Bee Branch, Arkansas. She graduated from nursing school in 2004 and has 20 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Boston Mountain Rural Health Center, Inc and her current practice location is
326 South Side Road, Bee Branch, Arkansas. You can reach out to her office (for appointments etc.) via phone at
(501) 654-2006.
Mrs Carolyn R Smith is licensed to practice in Arkansas (license number AO1838) and she also participates in the medicare program. She
accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1750585063.
Provider's Profile
| Full Name | Mrs Carolyn R Smith |
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| Gender | Female |
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| Speciality | Nurse Practitioner |
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| Experience | 20 Years |
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| Location | 326 South Side Road, Bee Branch, Arkansas |
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| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Mrs Carolyn R Smith graduated from nursing school in 2004
NPI Data:
- NPI Number: 1750585063
- Provider Enumeration Date: 06/12/2007
- Last Update Date: 03/07/2023
Medicare PECOS Information:
- PECOS PAC ID: 2466481874
- Enrollment ID: I20071213000188
Medical Identifiers
Medical identifiers for Mrs Carolyn R Smith such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1750585063 | NPI | - | NPPES |
| 166812758 | Medicaid | AR | |
| A01838 | Other | AR | STATE LICENSE |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 363LF0000X | Nurse Practitioner - Family | AO1838 (Arkansas) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| Boston Mountain Rural Health Center, Inc | 3870401722 | 42 |
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. Mrs Carolyn R Smith allows following entities to bill medicare on her behalf.
| Entity Name | Boston Mountain Rural Health Center, Inc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1720096027
PECOS PAC ID: 3870401722
Enrollment ID: O20040701000737 |
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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. Mrs Carolyn R 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 |
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Mrs Carolyn R Smith, APN
Po Box 1060,
Marshall, AR 72650-1060
Ph: (870) 448-5101 | Mrs Carolyn R Smith, APN
326 South Side Road,
Bee Branch, AR 72013-9137
Ph: (501) 654-2006 |
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