Shelley Ann Smith, FNP is a medicare enrolled "Nurse Practitioner - Family" in Gatesville, North Carolina. She went to Duke University School Of Medicine and graduated in 2015 and has 11 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Gateway Community Health Centers, Inc. and her current practice location is
501 Main St, Gatesville, North Carolina. You can reach out to her office (for appointments etc.) via phone at
(252) 357-1226.
Shelley Ann Smith is licensed to practice in North Carolina (license number 5008216) 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 1588039036.
Provider's Profile
| Full Name | Shelley Ann Smith |
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| Gender | Female |
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| Speciality | Nurse Practitioner |
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| Experience | 11 Years |
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| Location | 501 Main St, Gatesville, North Carolina |
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| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Shelley Ann Smith attended and graduated from Duke University School Of Medicine in 2015
NPI Data:
- NPI Number: 1588039036
- Provider Enumeration Date: 12/09/2015
- Last Update Date: 08/19/2020
Medicare PECOS Information:
- PECOS PAC ID: 3870899735
- Enrollment ID: I20160303000188
Medical Identifiers
Medical identifiers for Shelley Ann Smith such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1588039036 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 363LF0000X | Nurse Practitioner - Family | AP140666 (Texas) | Secondary |
| 363LF0000X | Nurse Practitioner - Family | MS5229895 (North Carolina) | Secondary |
| 363LF0000X | Nurse Practitioner - Family | CPN191034 (Maine) | Secondary |
| 363LF0000X | Nurse Practitioner - Family | C-APN.0001453-C-NP (Colorado) | Secondary |
| 363LF0000X | Nurse Practitioner - Family | 5008216 (North Carolina) | Primary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| Gateway Community Health Centers, Inc. | 9234356015 | 2 |
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. Shelley Ann Smith allows following entities to bill medicare on her behalf.
| Entity Name | Gateway Community Health Centers, Inc. |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1487936514
PECOS PAC ID: 9234356015
Enrollment ID: O20160120001420 |
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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. Shelley Ann 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 |
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Shelley Ann Smith, FNP
Po Box 297,
Gatesville, NC 27938-0297
Ph: (252) 357-1226 | Shelley Ann Smith, FNP
501 Main St,
Gatesville, NC 27938-9424
Ph: (252) 357-1226 |
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