Shatika Smith, NP - Medicare Nurse Practitioner in Wyandanch, NY

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Shatika Smith, NP is a medicare enrolled "Nurse Practitioner - Psychiatric/mental Health" in Wyandanch, New York. She graduated from nursing school in 2020 and has 5 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice New York University and her current practice location is 240a Long Island Ave, Wyandanch, New York. You can reach out to her office (for appointments etc.) via phone at (631) 782-6200.

Shatika Smith is licensed to practice in New York (license number 402132) 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 1215328398.

Contact Information

Shatika Smith, NP
240a Long Island Ave,
Wyandanch, NY 11798-3123
(631) 782-6200
Not Available

Map and Direction




Provider's Profile

Full NameShatika Smith
GenderFemale
SpecialityNurse Practitioner
Experience5 Years
Location240a Long Island Ave, Wyandanch, New York
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Shatika Smith graduated from nursing school in 2020
  NPI Data:
  • NPI Number: 1215328398
  • Provider Enumeration Date: 02/11/2015
  • Last Update Date: 05/10/2022
  Medicare PECOS Information:
  • PECOS PAC ID: 1052725256
  • Enrollment ID: I20210129001550

Medical Identifiers

Medical identifiers for Shatika Smith such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1215328398NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
364SP0808XClinical Nurse Specialist - Psychiatric/mental Health 402132 (New York)Secondary
363LP0808XNurse Practitioner - Psychiatric/mental Health 402132 (New York)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Long Island Community HospitalPatchogue, NYHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
New York University13552324225027

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. Shatika Smith allows following entities to bill medicare on her behalf.
Entity NameFederation Of Organizations For The Ny State Mentally Disabled, Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1346433307
PECOS PAC ID: 6800823782
Enrollment ID: O20050721001040
Entity NameNew York University
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1285826438
PECOS PAC ID: 1355232422
Enrollment ID: O20081202000185
Entity NameNew York University
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1285826438
PECOS PAC ID: 1355232422
Enrollment ID: O20090822000026
Entity NameConey Island Medical Practice Plan, P.c.
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1386951762
PECOS PAC ID: 5496944803
Enrollment ID: O20110114000660

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. Shatika 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
Shatika Smith, NP
240a Long Island Ave,
Wyandanch, NY 11798-3123

Ph: (631) 782-6200		Shatika Smith, NP
240a Long Island Ave,
Wyandanch, NY 11798-3123

Ph: (631) 782-6200

Reviews and Comments


Nurse Practitioner Nurses in Wyandanch, NY

Mrs. Keisha Ann Monique Williams, PNP
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 1543 Straight Path, Wyandanch, NY 11798
Phone: 631-643-6006    Fax: 631-643-7026
Trina Turner,
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 250 State Ave, Wyandanch, NY 11798
Phone: 631-371-7439    
Mrs. Tjada S Garvin,
Nurse Practitioner
Medicare: May Accept Medicare Assignments
Practice Location: 18 Norwood Pl, Wyandanch, NY 11798
Phone: 631-805-6956    

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.