Ms Jonnelle D Smith, PA - Medicare Physician Assistant in Carrollton, IL

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Ms Jonnelle D Smith, PA is a medicare enrolled "Physician Assistant" in Carrollton, Illinois. Her current practice location is 523 S Main St, Carrollton, Illinois. You can reach out to her office (for appointments etc.) via phone at (217) 942-3326.

Ms Jonnelle D Smith is licensed to practice in * (Not Available) (license number ) 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 1487877130.

Contact Information

Ms Jonnelle D Smith, PA
523 S Main St,
Carrollton, IL 62016-1256
(217) 942-3326
(217) 942-9833

Map and Direction




Provider's Profile

Full NameMs Jonnelle D Smith
GenderFemale
SpecialityPhysician Assistant
Location523 S Main St, Carrollton, Illinois
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1487877130
  • Provider Enumeration Date: 04/11/2007
  • Last Update Date: 01/21/2021
  Medicare PECOS Information:
  • PECOS PAC ID: 8123184777
  • Enrollment ID: I20100327000452

Medical Identifiers

Medical identifiers for Ms Jonnelle D Smith such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1487877130NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363A00000XPhysician Assistant (* (Not Available))Primary
207P00000XEmergency Medicine 085 002986 (Illinois)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. Ms Jonnelle D Smith allows following entities to bill medicare on her behalf.
Entity NameCgh Medical Center
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1902854623
PECOS PAC ID: 6103723267
Enrollment ID: O20031217000054
Entity NameCarle Health Care Incorporated
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1154653947
PECOS PAC ID: 3577515774
Enrollment ID: O20100513000829
Entity NameSoutheastern Emergency Services of Memphis PC
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1164454450
PECOS PAC ID: 8921912767
Enrollment ID: O20150428000000
Entity NameCarle West Physician Group Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1467074138
PECOS PAC ID: 8921420308
Enrollment ID: O20200613000147

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. Ms Jonnelle D 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 AddressPractice Location Address
Ms Jonnelle D Smith, PA
611 W. Park St, Fapc,
Urbana, IL 61801

Ph: Not Available		Ms Jonnelle D Smith, PA
523 S Main St,
Carrollton, IL 62016-1256

Ph: (217) 942-3326

Reviews and Comments


Physician Assistant Nurses in Carrollton, IL

Mr. William B Sturm, P.A.
Physician Assistant
Medicare: Not Enrolled in Medicare
Practice Location: 800 School St, Carrollton, IL 62016
Phone: 217-942-6946    Fax: 217-942-9349

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.