Mrs Jennifer Darlene Smith, PMHNP is a medicare enrolled "Nurse Practitioner - Psychiatric/mental Health" in Braxton, Mississippi. Her current practice location is
1814 St John Rd, Braxton, Mississippi. You can reach out to her office (for appointments etc.) via phone at
(601) 906-3857.
Mrs Jennifer Darlene Smith is licensed to practice in Mississippi (license number 906848) 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 1063260172.
Provider's Profile
Full Name | Mrs Jennifer Darlene Smith |
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Gender | Female |
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Speciality | Nurse Practitioner - Psychiatric/mental Health |
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Location | 1814 St John Rd, Braxton, Mississippi |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1063260172
- Provider Enumeration Date: 05/13/2024
- Last Update Date: 08/02/2024
Medicare PECOS Information:
- PECOS PAC ID: 6002334620
- Enrollment ID: I20250519000394
Medical Identifiers
Medical identifiers for Mrs Jennifer Darlene Smith such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1063260172 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
163WP0808X | Registered Nurse - Psychiatric/mental Health | 875311 (Mississippi) | Secondary |
363LP0808X | Nurse Practitioner - Psychiatric/mental Health | 906848 (Mississippi) | 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 Jennifer Darlene Smith allows following entities to bill medicare on her behalf.
Entity Name | Minor Med Care, P.a. |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1407968738 PECOS PAC ID: 7618866021 Enrollment ID: O20040313000147 |
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Entity Name | Mdb Behavioral Health Services Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1669835310 PECOS PAC ID: 0749572915 Enrollment ID: O20160708000104 |
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Entity Name | Uppal Medical Center Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1558927905 PECOS PAC ID: 4587998547 Enrollment ID: O20190625001406 |
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Entity Name | Mdb Care Management Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1144925272 PECOS PAC ID: 0547619512 Enrollment ID: O20231215002106 |
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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 Jennifer Darlene 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 Jennifer Darlene Smith, PMHNP 1814 St John Rd, Braxton, MS 39044-9470 Ph: (601) 906-3857 | Mrs Jennifer Darlene Smith, PMHNP 1814 St John Rd, Braxton, MS 39044-9470 Ph: (601) 906-3857 |
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