Mrs Diane Smith, APRN, FNP in Sandy, UT - Medicare Nurse Practitioner

Mrs Diane Smith, APRN, FNP is a medicare enrolled "Nurse Practitioner" in Sandy, Utah. Her current practice location is 10648 S Rembrandt Ln, Sandy, Utah. You can reach out to her office (for appointments etc.) via phone at (435) 313-3142.

Mrs Diane Smith is licensed to practice in Utah (license number 8775403-4405) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1508250580.

Contact Information

	Mrs Diane Smith, APRN, FNP
	10648 S Rembrandt Ln, Sandy, UT 84070-5224
	(435) 313-3142
	(801) 705-0118

Map and Direction

Provider's Profile

Full Name	Mrs Diane Smith
Gender	Female
Speciality	Nurse Practitioner
Location	10648 S Rembrandt Ln, Sandy, Utah
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1508250580
Provider Enumeration Date: 03/26/2015
Last Update Date: 11/05/2024

Medicare PECOS Information:

PECOS PAC ID: 4385965029
Enrollment ID: I20150605001220

Medical Identifiers

Medical identifiers for Mrs Diane Smith such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1508250580	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	APRN001916 (Nevada)	Secondary
363L00000X	Nurse Practitioner	8775403-4405 (Utah)	Primary

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 Diane Smith allows following entities to bill medicare on her behalf.

Entity Name	Kec Chang Medical Associates Pc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1750606703 PECOS PAC ID: 8820129190 Enrollment ID: O20100630000414

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 Diane 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
Mrs Diane Smith, APRN, FNP 1301 Bertha Howe Ave, Suite 1, Mesquite, NV 89027-7502 Ph: (702) 346-0800	Mrs Diane Smith, APRN, FNP 10648 S Rembrandt Ln, Sandy, UT 84070-5224 Ph: (435) 313-3142

Reviews and Comments

Nurse Practitioner Nurses in Sandy, UT

Loandra Berg, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 9450 S 1300 E, Ste 110, Sandy, UT 84094 Phone: 801-501-6100
Angela Marie Miller, APRN, FNP-BC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 11562 S Hickory Valley Dr, Sandy, UT 84092 Phone: 435-901-1995
Theresa Brooke Sligting, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 9600 S 1300 E Ste 220, Sandy, UT 84094 Phone: 801-571-0009
Benjamin Zachariah Rollins, APRN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 476 E Mingo Park Dr, Sandy, UT 84070 Phone: 801-554-4784
Miriam Dawn Hughes, CNM, WHNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 9450 S 1300 E, Sandy, UT 84094 Phone: 801-501-2160
Dylan Roy Richmond, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 7984 S 1300 E, Sandy, UT 84094 Phone: 916-412-6333
Jennifer Lyn Aragon, A.P.R.N. Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 9980 S 300 W Ste 200, Sandy, UT 84070 Phone: 385-495-4151 Fax: 844-596-0409

Mrs Diane Smith, APRN, FNP - Medicare Nurse Practitioner in Sandy, UT