Stephanie Dora Smith, in Grand Rapids, MI - Medicare Nurse Practitioner

Stephanie Dora Smith, is a medicare enrolled "Nurse Practitioner - Gerontology" in Grand Rapids, Michigan. Her current practice location is 245 Cherry St Se, Suite 204, Grand Rapids, Michigan. You can reach out to her office (for appointments etc.) via phone at (616) 685-3330.

Stephanie Dora Smith is licensed to practice in Michigan (license number 4704272685) 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 1417208463.

Contact Information

	Stephanie Dora Smith,
	245 Cherry St Se, Suite 204, Grand Rapids, MI 49503-4607
	(616) 685-3330
	Not Available

Map and Direction

Provider's Profile

Full Name	Stephanie Dora Smith
Gender	Female
Speciality	Nurse Practitioner - Gerontology
Location	245 Cherry St Se, Grand Rapids, Michigan
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1417208463
Provider Enumeration Date: 09/29/2012
Last Update Date: 10/27/2014

Medicare PECOS Information:

PECOS PAC ID: 8628220092
Enrollment ID: I20140915002331

Medical Identifiers

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

Identifier	Type	State	Issuer
1417208463	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LG0600X	Nurse Practitioner - Gerontology	4704272685 (Michigan)	Primary
363LA2200X	Nurse Practitioner - Adult Health	4704272685 (Michigan)	Secondary

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. Stephanie Dora Smith allows following entities to bill medicare on her behalf.

Entity Name	Advantage Health/saint Mary's Medical Group
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1376862151 PECOS PAC ID: 4082807961 Enrollment ID: O20101023000279

Entity Name	Saint Marys Health Services
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1063917425 PECOS PAC ID: 4981500436 Enrollment ID: O20180511000758

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. Stephanie Dora 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
Stephanie Dora Smith, 245 Cherry St Se, Suite 204, Grand Rapids, MI 49503-4607 Ph: (616) 685-3330	Stephanie Dora Smith, 245 Cherry St Se, Suite 204, Grand Rapids, MI 49503-4607 Ph: (616) 685-3330

Reviews and Comments

Nurse Practitioner Nurses in Grand Rapids, MI

Paul Dieleman, PMHNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1131 Ionia Ave Nw, Grand Rapids, MI 49503 Phone: 616-259-7900 Fax: 616-259-7909
Dr. Katherine Pruss, DNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 3201 Burton St Se, Sb 260, Grand Rapids, MI 49546 Phone: 616-526-6808
Vanessa Rae Smitko, NP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 4100 Lake Dr Se Ste 300, Grand Rapids, MI 49546 Phone: 616-267-8860
Khira Lauren Benson, CNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 25 Michigan St Ne Ste 4200, Grand Rapids, MI 49503 Phone: 616-267-9150
Cassandra Cummings, DNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 100 Michigan St Ne # Mc845, Grand Rapids, MI 49503 Phone: 616-486-6790
Anne Therese Beauchamp, PMHNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1055 Medical Park Dr Se, Grand Rapids, MI 49546 Phone: 616-942-9610
Mary Barr, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 4100 Lake Dr Se Ste 200, Grand Rapids, MI 49546 Phone: 616-391-3759

Stephanie Dora Smith, - Medicare Nurse Practitioner in Grand Rapids, MI