Myra Rutledge Smith, is a medicare enrolled "Nurse Practitioner - Family" in Little Rock Air Force Base, Arkansas. Her current practice location is
1090 Arnold Dr, Little Rock Air Force Base, Arkansas. You can reach out to her office (for appointments etc.) via phone at
(501) 987-3080.
Myra Rutledge Smith is licensed to practice in Arkansas (license number 213387) 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 1659967834.
Provider's Profile
| Full Name | Myra Rutledge Smith |
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| Gender | Female |
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| Speciality | Nurse Practitioner - Family |
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| Location | 1090 Arnold Dr, Little Rock Air Force Base, Arkansas |
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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: 1659967834
- Provider Enumeration Date: 12/12/2020
- Last Update Date: 06/20/2024
Medicare PECOS Information:
- PECOS PAC ID: 0244627214
- Enrollment ID: I20220420002843
Medical Identifiers
Medical identifiers for Myra Rutledge Smith such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1659967834 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 363LF0000X | Nurse Practitioner - Family | 213387 (Arkansas) | 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. Myra Rutledge Smith allows following entities to bill medicare on her behalf.
| Entity Name | Integrated Care Professionals Llc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1164762662 PECOS PAC ID: 8527200955 Enrollment ID: O20130814000016 |
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| Entity Name | Icp Arkansas Aco Billing Llc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1679157838 PECOS PAC ID: 8820497886 Enrollment ID: O20210524001681 |
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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. Myra Rutledge 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 |
Myra Rutledge Smith, 1090 Arnold Dr, Little Rock Air Force Base, AR 72099-4933 Ph: (501) 987-3080 | Myra Rutledge Smith, 1090 Arnold Dr, Little Rock Air Force Base, AR 72099-4933 Ph: (501) 987-3080 |
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