Sandra Smith, in Madison, IN - Medicare Nurse Practitioner

Sandra Smith, is a medicare enrolled "Nurse Practitioner - Primary Care" in Madison, Indiana. Her current practice location is 220 Clifty Dr Ste J, Madison, Indiana. You can reach out to her office (for appointments etc.) via phone at (812) 274-0713.

Sandra Smith is licensed to practice in Indiana (license number 363LP2300X) 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 1013319367.

Contact Information

	Sandra Smith,
	220 Clifty Dr Ste J, Madison, IN 47250-1669
	(812) 274-0713
	Not Available

Map and Direction

Provider's Profile

Full Name	Sandra Smith
Gender	Female
Speciality	Nurse Practitioner - Primary Care
Location	220 Clifty Dr Ste J, Madison, Indiana
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1013319367
Provider Enumeration Date: 09/18/2014
Last Update Date: 06/09/2022

Medicare PECOS Information:

PECOS PAC ID: 7719283886
Enrollment ID: I20160316000479

Medical Identifiers

Medical identifiers for Sandra Smith such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1013319367	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LP2300X	Nurse Practitioner - Primary Care	363LP2300X (Indiana)	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. Sandra Smith allows following entities to bill medicare on her behalf.

Entity Name	State Of Indiana Auditor Of State
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1700876224 PECOS PAC ID: 1759280118 Enrollment ID: O20040105000564

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. Sandra 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
Sandra Smith, 220 Clifty Dr Ste J, Madison, IN 47250-1669 Ph: (812) 274-0713	Sandra Smith, 220 Clifty Dr Ste J, Madison, IN 47250-1669 Ph: (812) 274-0713

Reviews and Comments

Nurse Practitioner Nurses in Madison, IN

Sara Nicole Thorpe, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1373 E State Road 62, Madison, IN 47250 Phone: 812-801-0152 Fax: 812-801-0150
Mary Victoria Conners, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 630 Broadway St, Madison, IN 47250 Phone: 812-801-0338 Fax: 812-801-0777
Mandy Corinne Wilson, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1373 E State Road 62 Ste 2c, Madison, IN 47250 Phone: 812-801-0840 Fax: 812-801-0024
Jamie Leigh Baker, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1373 E Sr 62, Madison, IN 47250 Phone: 812-801-0229 Fax: 812-801-8705
Alicia D Mincher, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1373 E State Road 62, Madison, IN 47250 Phone: 812-801-0152 Fax: 812-801-0150
Branden A Bledsoe, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 311 E Clifty Dr, Madison, IN 47250 Phone: 502-895-7761

Sandra Smith, - Medicare Nurse Practitioner in Madison, IN