Nicolina Marie Smith, DO/MBA - Medicare Obstetrics & Gynecology in Detroit, MI

Nicolina Marie Smith, DO/MBA is a medicare enrolled "Obstetrics & Gynecology" physician in Detroit, Michigan. Her current practice location is 2799 W Grand Blvd, Detroit, Michigan. You can reach out to her office (for appointments etc.) via phone at (313) 916-1023.

Nicolina Marie Smith is licensed to practice in Michigan (license number 5101027305) 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 1962907741.

Contact Information

Nicolina Marie Smith, DO/MBA
2799 W Grand Blvd,
Detroit, MI 48202-2689
(313) 916-1023
Not Available



Physician's Profile

Full NameNicolina Marie Smith
GenderFemale
SpecialityObstetrics & Gynecology
Location2799 W Grand Blvd, Detroit, Michigan
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1962907741
  • Provider Enumeration Date: 03/26/2018
  • Last Update Date: 07/24/2023
  Medicare PECOS Information:
  • PECOS PAC ID: 9234500166
  • Enrollment ID: I20230131003482

Medical Identifiers

Medical identifiers for Nicolina Marie Smith such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1962907741NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207V00000XObstetrics & Gynecology 5101027305 (Michigan)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. Nicolina Marie Smith allows following entities to bill medicare on her behalf.
Entity NameHenry Ford Health System
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1790856235
PECOS PAC ID: 0547178311
Enrollment ID: O20031111000061

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Entity NameHenry Ford Macomb Hospital Corporation
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1134265986
PECOS PAC ID: 7911808381
Enrollment ID: O20040119000142

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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. Nicolina Marie 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
Nicolina Marie Smith, DO/MBA
2799 W Grand Blvd,
Detroit, MI 48202-2689

Ph: (313) 916-1023
Nicolina Marie Smith, DO/MBA
2799 W Grand Blvd,
Detroit, MI 48202-2689

Ph: (313) 916-1023

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Obstetrics & Gynecology Doctors in Detroit, MI

Roberto Romero, MD
Obstetrics & Gynecology
Medicare: Not Enrolled in Medicare
Practice Location: 3980 John R, Detroit, MI 48201
Phone: 888-362-2500    
Mrs. Holly Ouillette, M.D.
Obstetrics & Gynecology
Medicare: Accepting Medicare Assignments
Practice Location: 22151 Moross Rd Ste 313, Detroit, MI 48236
Phone: 313-343-3484    Fax: 313-343-4932
Leanne J. Roberts, M.D.
Obstetrics & Gynecology
Medicare: Accepting Medicare Assignments
Practice Location: 2799 W Grand Blvd, Detroit, MI 48202
Phone: 800-653-6568    
Ronald Cheek, MD
Obstetrics & Gynecology
Medicare: Accepting Medicare Assignments
Practice Location: 6001 W Outer Dr Ste 400, Detroit, MI 48235
Phone: 313-966-4200    Fax: 313-966-3560
Dr. David Bryant Jr., MD
Obstetrics & Gynecology
Medicare: Accepting Medicare Assignments
Practice Location: 3750 Woodward Ave, Suite 200c, Detroit, MI 48201
Phone: 313-993-4645    Fax: 313-993-4654
Sun Kwon Kim, MD, PHD
Obstetrics & Gynecology
Medicare: Accepting Medicare Assignments
Practice Location: 4201 Saint Antoine St, Ste 4c, Detroit, MI 48201
Phone: 313-745-4525    Fax: 313-745-4399
Lanetta Coleman, MD
Obstetrics & Gynecology
Medicare: Accepting Medicare Assignments
Practice Location: 6001 W Outer Dr, #400, Detroit, MI 48235
Phone: 313-966-4200    Fax: 313-966-3560

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