Mrs Jessica Ann Smith, APRN in Elyria, OH - Medicare Nurse Practitioner

Mrs Jessica Ann Smith, APRN is a medicare enrolled "Nurse Practitioner" in Elyria, Ohio. Her current practice location is 630 E River St, Elyria, Ohio. You can reach out to her office (for appointments etc.) via phone at (440) 329-7817.

Mrs Jessica Ann Smith is licensed to practice in Ohio (license number 0033586) 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 1366088981.

Contact Information

	Mrs Jessica Ann Smith, APRN
	630 E River St, Elyria, OH 44035-5902
	(440) 329-7817
	Not Available

Map and Direction

Provider's Profile

Full Name	Mrs Jessica Ann Smith
Gender	Female
Speciality	Nurse Practitioner
Location	630 E River St, Elyria, Ohio
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1366088981
Provider Enumeration Date: 11/19/2019
Last Update Date: 10/21/2023

Medicare PECOS Information:

PECOS PAC ID: 4587016027
Enrollment ID: I20240119002036

Medical Identifiers

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

Identifier	Type	State	Issuer
1366088981	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
163W00000X	Registered Nurse	459282 (Ohio)	Secondary
363L00000X	Nurse Practitioner	0033586 (Ohio)	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 Jessica Ann Smith allows following entities to bill medicare on her behalf.

Entity Name	Emh Regional Medical Center
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1841299039 PECOS PAC ID: 7517931389 Enrollment ID: O20040826000069

Entity Name	University Hospitals St. John Medical Center
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1427353713 PECOS PAC ID: 0840333613 Enrollment ID: O20110315000008

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 Jessica Ann 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 Jessica Ann Smith, APRN 630 E River St, Elyria, OH 44035-5902 Ph: (440) 371-6114	Mrs Jessica Ann Smith, APRN 630 E River St, Elyria, OH 44035-5902 Ph: (440) 329-7817

Reviews and Comments

Nurse Practitioner Nurses in Elyria, OH

Bretzyl M Liscoe, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 630 E River St, Elyria, OH 44035 Phone: 440-323-8515
Nicole Fatemeh Scavuzzo, CNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 525 Chestnut Commons Dr, Elyria, OH 44035 Phone: 440-406-8153 Fax: 440-406-8312
Mary Lauretta Gilchrist, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 630 E River St, Elyria, OH 44035 Phone: 440-329-7500
Ms. Amy M. King, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 630 E River St, Elyria, OH 44035 Phone: 440-329-7500
Amy M Kovalsky, RN, CNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 630 E River St, Elyria, OH 44035 Phone: 440-329-7500
Mrs. Brenda J Life, CNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 125 E Broad St, Suite 305, Elyria, OH 44035 Phone: 440-326-4120 Fax: 440-322-3454
Jennifer Gelske, CNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 41201 Schadden Rd, Elyria, OH 44035 Phone: 440-324-0400 Fax: 440-324-0441

Mrs Jessica Ann Smith, APRN - Medicare Nurse Practitioner in Elyria, OH