Mrs Gladys Kabamba Smith, FAMILY NURSE PRACTIT in Anderson, MO

Mrs Gladys Kabamba Smith, FAMILY NURSE PRACTIT is a medicare enrolled "Nurse Practitioner - Family" in Anderson, Missouri. Her current practice location is 104 E Main St, Anderson, Missouri. You can reach out to her office (for appointments etc.) via phone at (417) 845-6984.

Mrs Gladys Kabamba Smith is licensed to practice in Arkansas (license number F08210825) 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 1154045821.

Contact Information

	Mrs Gladys Kabamba Smith, FAMILY NURSE PRACTIT
	104 E Main St, Anderson, MO 64831-4103
	(417) 845-6984
	(417) 845-6976

Map and Direction

Provider's Profile

Full Name	Mrs Gladys Kabamba Smith
Gender	Female
Speciality	Nurse Practitioner - Family
Location	104 E Main St, Anderson, Missouri
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1154045821
Provider Enumeration Date: 09/27/2022
Last Update Date: 08/16/2023

Medicare PECOS Information:

PECOS PAC ID: 9638539927
Enrollment ID: I20230718003457

Medical Identifiers

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

Identifier	Type	State	Issuer
1154045821	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	F08210825 (Arkansas)	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 Gladys Kabamba Smith allows following entities to bill medicare on her behalf.

Entity Name	Sgoh Acquisition Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1114924768 PECOS PAC ID: 5092616276 Enrollment ID: O20040205000647

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 Gladys Kabamba 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 Gladys Kabamba Smith, FAMILY NURSE PRACTIT 1501 Lancelot St, Lowell, AR 72745-9598 Ph: (479) 166-1553	Mrs Gladys Kabamba Smith, FAMILY NURSE PRACTIT 104 E Main St, Anderson, MO 64831-4103 Ph: (417) 845-6984

Reviews and Comments

Nurse Practitioner Nurses in Anderson, MO

Rebecca A Bender, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 510 Park Street, Anderson, MO 64831 Phone: 417-845-0545 Fax: 417-845-0548
Sabrina R Barratt, CNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 927 N 71 Business Hwy, Anderson, MO 64831 Phone: 417-845-8300 Fax: 417-845-8314
Jennifer Joann Clark, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 104 E Main St, Anderson, MO 64831 Phone: 417-845-6984 Fax: 417-845-6976
Kevin Copley, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 927 N Business 71, Anderson, MO 64831 Phone: 417-845-8300
Erin Christina Berry, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 104 E Main St, Anderson, MO 64831 Phone: 417-845-6984 Fax: 417-845-6976
Dawn L Talbert, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 927 S 71 Business Hwy, Anderson, MO 64831 Phone: 417-845-2273 Fax: 417-845-0094

Mrs Gladys Kabamba Smith, FAMILY NURSE PRACTIT - Medicare Nurse Practitioner in Anderson, MO