Ms Maryellen Warro Smith, PA in Tyler, TX - Medicare Physician Assistant

Ms Maryellen Warro Smith, PA is a medicare enrolled "Physician Assistant" in Tyler, Texas. She graduated from nursing school in 2000 and has 26 years of diverse experience with area of expertise as Physician Assistant. She is a member of the group practice Christus Trinity Clinic Texas, Mother Frances Hospital Regional Health Care Center and her current practice location is 5414 S Broadway Ave, Tyler, Texas. You can reach out to her office (for appointments etc.) via phone at (903) 581-1601.

Ms Maryellen Warro Smith is licensed to practice in Texas (license number PA04930) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1275648834.

Contact Information

	Ms Maryellen Warro Smith, PA
	5414 S Broadway Ave, Tyler, TX 75703-1335
	(903) 581-1601
	Not Available

Map and Direction

Provider's Profile

Full Name	Ms Maryellen Warro Smith
Gender	Female
Speciality	Physician Assistant
Experience	26 Years
Location	5414 S Broadway Ave, Tyler, Texas
Accepts Medicare Assignments	Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Ms Maryellen Warro Smith graduated from nursing school in 2000

NPI Data:

NPI Number: 1275648834
Provider Enumeration Date: 08/21/2006
Last Update Date: 02/28/2018

Medicare PECOS Information:

PECOS PAC ID: 4587665054
Enrollment ID: I20070125000472

Medical Identifiers

Medical identifiers for Ms Maryellen Warro Smith such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1275648834	NPI	-	NPPES
75-2616977-001	Other	TX	TRICARE
8544ND	Other	TX	BCBS
75-1976930-005	Other	TX	TRICARE
75-2616977-028	Other	TX	TRICARE
8547ND	Other	TX	BCBS
337319301	Medicaid	TX
75-0818167-048	Other	TX	TRICARE
75-0818167-044	Other	TX	TRICARE
75-0818167-015	Other	TX	TRICARE
75-0818167-022	Other	TX	TRICARE
8545ND	Other	TX	BCBS
337319303	Medicaid	TX
75-2616977-002	Other	TX	TRICARE
8546ND	Other	TX	BCBS
337319302	Medicaid	TX
337319304	Medicaid	TX

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363A00000X	Physician Assistant	PA04930 (Texas)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Choice Homecare	Tyler, TX	Home health agency
Christus Homecare	Tyler, TX	Home health agency
Christus Mother Frances Hospital	Tyler, TX	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Christus Trinity Clinic Texas	3072426741	1540
Mother Frances Hospital Regional Health Care Center	9234025636	120

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 Maryellen Warro Smith allows following entities to bill medicare on her behalf.

Entity Name	Christus Trinity Clinic
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1285684225 PECOS PAC ID: 3072426741 Enrollment ID: O20031204001091

Entity Name	Mother Frances Hospital Jacksonville
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1952306672 PECOS PAC ID: 5597751024 Enrollment ID: O20040421001092

Entity Name	Mother Frances Hospital Regional Health Care Center
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1679578439 PECOS PAC ID: 9234025636 Enrollment ID: O20040610001042

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 Maryellen Warro 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
Ms Maryellen Warro Smith, PA 1905 S Donnybrook Ave, Tyler, TX 75701-4236 Ph: (903) 597-3140	Ms Maryellen Warro Smith, PA 5414 S Broadway Ave, Tyler, TX 75703-1335 Ph: (903) 581-1601

Reviews and Comments

Physician Assistant Nurses in Tyler, TX

David Robert Dewalch, PA-C
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Matthew Tassinari,
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Jordan Fayth Cooke, PA-C
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Phone: 903-939-7500 Fax: 903-939-7728

Mrs. Megan Renee Followwell, PA-C
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Practice Location: 5777 New Copeland Rd, Tyler, TX 75703
Phone: 903-561-9255

Ms Maryellen Warro Smith, PA - Medicare Physician Assistant in Tyler, TX