Tierra Q Smith, FNP-BC in East Saint Louis, IL

Tierra Q Smith, FNP-BC is a medicare enrolled "Nurse Practitioner - Family" in East Saint Louis, Illinois. Her current practice location is 100 N 8th St Ste 120, East Saint Louis, Illinois. You can reach out to her office (for appointments etc.) via phone at (618) 274-9105.

Tierra Q Smith is licensed to practice in Illinois (license number 209027198) 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 1316647753.

Contact Information

	Tierra Q Smith, FNP-BC
	100 N 8th St Ste 120, East Saint Louis, IL 62201-2989
	(618) 274-9105
	(618) 274-9101

Map and Direction

Provider's Profile

Full Name	Tierra Q Smith
Gender	Female
Speciality	Nurse Practitioner - Family
Location	100 N 8th St Ste 120, East Saint Louis, Illinois
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1316647753
Provider Enumeration Date: 03/06/2023
Last Update Date: 05/01/2025

Medicare PECOS Information:

PECOS PAC ID: 1850833823
Enrollment ID: I20240605002089

Medical Identifiers

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

Identifier	Type	State	Issuer
1316647753	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	2023007983 (Missouri)	Secondary
363LF0000X	Nurse Practitioner - Family	209027198 (Illinois)	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. Tierra Q Smith allows following entities to bill medicare on her behalf.

Entity Name	Southern Illinois Healthcare Foundation, Inc.
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1609813500 PECOS PAC ID: 1456256874 Enrollment ID: O20031126000641

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. Tierra Q 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
Tierra Q Smith, FNP-BC 100 N 8th St Ste 120, East Saint Louis, IL 62201-2989 Ph: (618) 274-9105	Tierra Q Smith, FNP-BC 100 N 8th St Ste 120, East Saint Louis, IL 62201-2989 Ph: (618) 274-9105

Reviews and Comments

Nurse Practitioner Nurses in East Saint Louis, IL

Yolanda L Hoag, ACNPC-AG Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2001 State St, East Saint Louis, IL 62205 Phone: 618-271-9191 Fax: 618-271-9617
Stephanie Michelle Tate-patterson, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 4901 State St, East Saint Louis, IL 62205 Phone: 618-646-3700
Ms. Jewel Radford, RN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 601 James R Thompson Blvd Ste 2015, East Saint Louis, IL 62201 Phone: 618-482-6959
Kayla Ann Pryor, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2001 State St, East Saint Louis, IL 62205 Phone: 618-271-0204
Mrs. Donna Marie Avery, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2420 State St, East Saint Louis, IL 62205 Phone: 618-318-8809 Fax: 618-615-4205
Ms. Latisha Trenice Stennis, PMHNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 8106 Carol Dr, East Saint Louis, IL 62203 Phone: 618-558-0920
Mrs. Virginia L Behrhorst, BC APRN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 601 James R Thompson Blvd, Building D 2015, East Saint Louis, IL 62201 Phone: 618-482-6959 Fax: 618-482-8311

Tierra Q Smith, FNP-BC - Medicare Nurse Practitioner in East Saint Louis, IL