Mrs Marcia R Smith, CRNA is a medicare enrolled "Nurse Anesthetist, Certified Registered" in Keesler Afb, Mississippi. Her current practice location is
301 Fisher St, Keesler Afb, Mississippi. You can reach out to her office (for appointments etc.) via phone at
(228) 376-4458.
Mrs Marcia R Smith is licensed to practice in Texas (license number 552825) 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 1164416962.
Provider's Profile
Full Name | Mrs Marcia R Smith |
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Gender | Female |
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Speciality | Nurse Anesthetist, Certified Registered |
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Location | 301 Fisher St, Keesler Afb, 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: 1164416962
- Provider Enumeration Date: 09/07/2005
- Last Update Date: 02/28/2017
Medicare PECOS Information:
- PECOS PAC ID: 1951490705
- Enrollment ID: I20071203000280
Medical Identifiers
Medical identifiers for Mrs Marcia R Smith such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1164416962 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
367500000X | Nurse Anesthetist, Certified Registered | 552825 (Texas) | Primary |
367500000X | Nurse Anesthetist, Certified Registered | 901411 (Mississippi) | Secondary |
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 Marcia R Smith allows following entities to bill medicare on her behalf.
Entity Name | Treasure Coast Anesthesia Group Pa |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1013350875 PECOS PAC ID: 2567600588 Enrollment ID: O20130604000335 |
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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 Marcia 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 |
Mrs Marcia R Smith, CRNA 1251 Father Ryan Ave, Biloxi, MS 39530-3656 Ph: (228) 376-4458 | Mrs Marcia R Smith, CRNA 301 Fisher St, Keesler Afb, MS 39534-2508 Ph: (228) 376-4458 |
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