Dr Nikisha Holly Smith, MD - Medicare Pediatrics in Waldorf, MD

Dr Nikisha Holly Smith, MD is a medicare enrolled "Pediatrics" physician in Waldorf, Maryland. Her current practice location is 11315 Pembrooke Sq, Suite 110, Waldorf, Maryland. You can reach out to her office (for appointments etc.) via phone at (301) 645-6165.

Dr Nikisha Holly Smith is licensed to practice in Maryland (license number D0066277) 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 1316147341.

Contact Information

Dr Nikisha Holly Smith, MD
11315 Pembrooke Sq, Suite 110,
Waldorf, MD 20603-4806
(301) 645-6165
(301) 843-7232



Physician's Profile

Full NameDr Nikisha Holly Smith
GenderFemale
SpecialityPediatrics
Location11315 Pembrooke Sq, Waldorf, Maryland
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1316147341
  • Provider Enumeration Date: 07/18/2007
  • Last Update Date: 07/18/2007
  Medicare PECOS Information:
  • PECOS PAC ID: 5991846958
  • Enrollment ID: I20100113000156

Medical Identifiers

Medical identifiers for Dr Nikisha Holly Smith such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1316147341NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
208000000XPediatrics D0066277 (Maryland)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. Dr Nikisha Holly Smith allows following entities to bill medicare on her behalf.
Entity NameUniversity Of Maryland Community Medical Group Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1477530624
PECOS PAC ID: 3678472214
Enrollment ID: O20040102000687

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Entity NameBaltimore Washington Emergency Physicians, Inc.
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1215983853
PECOS PAC ID: 3577451103
Enrollment ID: O20040305001004

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Entity NameMdics At Calvert Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1033404207
PECOS PAC ID: 6406017425
Enrollment ID: O20120418000151

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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. Dr Nikisha Holly 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
Dr Nikisha Holly Smith, MD
11315 Pembrooke Sq, Suite 110,
Waldorf, MD 20603-4806

Ph: (301) 645-6165
Dr Nikisha Holly Smith, MD
11315 Pembrooke Sq, Suite 110,
Waldorf, MD 20603-4806

Ph: (301) 645-6165

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Pediatrics Doctors in Waldorf, MD

Dr. Pankaj Vaidya, MD
Pediatrics
Medicare: Not Enrolled in Medicare
Practice Location: 3600 Leonardtown Rd, Suite 101, Waldorf, MD 20601
Phone: 301-645-4320    Fax: 301-843-2384
Dr. Adeteju Ogunrinde, M.D.
Pediatrics
Medicare: Not Enrolled in Medicare
Practice Location: 605 Post Office Rd, Suite 102, Waldorf, MD 20602
Phone: 301-870-1789    Fax: 301-374-2662
Om P Chhabra, M.D.
Pediatrics
Medicare: Not Enrolled in Medicare
Practice Location: 3600 Leonardtown Rd, Suite 101, Waldorf, MD 20601
Phone: 301-645-5951    Fax: 301-843-2384
Alexandra Mountford,
Pediatrics
Medicare: Not Enrolled in Medicare
Practice Location: 3500 Old Washington Rd Ste 101, Waldorf, MD 20602
Phone: 301-885-5020    Fax: 240-419-5217
Dr. Pedro Sarmiento Jr., M.D.
Pediatrics
Medicare: Medicare Enrolled
Practice Location: 11885 Holly Lane, Suite 1, Waldorf, MD 20601
Phone: 301-932-5299    Fax: 301-645-9442
Misha Capri Purnell, CPNP
Pediatrics
Medicare: Not Enrolled in Medicare
Practice Location: 3450 Old Washington Rd Ste 100, Waldorf, MD 20602
Phone: 301-572-3032    

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