MARIE BERNADINE SMITH
NPI 1023753779
Clinic/Center - Primary Care in North Lauderdale, FL
About Marie Bernadine Smith NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MARIE BERNADINE SMITH (NPI 1023753779) is an individual primary care provider in North Lauderdale, Florida, licensed in Florida (11017650) and active in the NPI registry since April 2022. She is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Marie Bernadine Smith is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Marie Smith reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Sunrise, FL 33351
- Reassigned Medicare billing, Florida enrollment
- 4 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 33068 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Marie Smith's NPI number?
The NPI number for Marie Smith is 1023753779. It was assigned to this individual provider in the NPPES registry on April 27, 2022.
Where is Marie Smith located?
Marie Smith practices at 234 San Remo Blvd, North Lauderdale, FL 33068. The listed phone number is (954) 328-0375.
What is Marie Smith's specialty?
The primary specialty registered for this NPI is Clinic/Center, specializing in Primary Care, with taxonomy code 261QP2300X.
Is Marie Smith enrolled in Medicare?
Yes. Marie Smith is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Marie Smith's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Marie Smith reassigns Medicare benefits to George T. Lim Jr, M.D., P.A. (Sunrise, FL). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Marie Smith's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for Marie Smith was last updated on April 27, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Marie Bernadine Smith · NPI 1023753779
Primary Care provider in North Lauderdale, Florida. Individual provider, active in the CMS NPPES registry since April 27, 2022.
## Identity
- **NPI:** 1023753779 (Entity type: Individual)
- **Enumerated:** April 27, 2022
- **Primary specialty:** Clinic/Center - Primary Care · taxonomy 261QP2300X
- **State license:** 11017650 (Florida)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 234 SAN REMO BLVD, North Lauderdale, FL 33068-3944
- **Phone:** (954) 328-0375
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** George T. Lim Jr, M.D., P.A. (NPI 1427366475, Sunrise, FL), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** April 27, 2022
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Source: [NPI Profile](https://npiprofile.com/npi/1023753779) · Data from the CMS NPPES public registry.