EILEEN MARY SMITH
NPI 1194313668
Physician Assistant in Newark, DE
NPI Status: Active since January 09, 2021
Contact Information
4755 OGLETOWN STANTON RD STE 1E50
NEWARK, DE
ZIP 19718
Phone: (302) 733-1980
Fax: (302) 733-1986
- Individual
- Female
- Years of Experience 5
- Physician Assistant
- Accepts Insurance
- Accepts Medicare Approved Payment
- PECOS Enrolled
About EILEEN SMITH
This page provides the complete NPI Profile along with additional information for Eileen Smith, a primary care provider established in Newark, Delaware with a medical specialization in Physician Assistant and more than 5 years of experience. The healthcare provider is registered in the NPI registry with number 1194313668 assigned on January 2021. The practitioner's primary taxonomy code is 363A00000X with license number C5-0011544 (DE). The provider is registered as an individual and her NPI record was last updated 4 years ago.
- NPI
- 1194313668
- Provider Name
- EILEEN MARY SMITH
- Gender
- Female
- Entity Type
- Individual
- Location Address
- 4755 OGLETOWN STANTON RD STE 1E50 NEWARK, DE 19718
- Location Phone
- (302) 733-1980
- Location Fax
- (302) 733-1986
- Mailing Address
- 4755 OGLETOWN STANTON RD STE 1E50 NEWARK, DE 19718
- Mailing Phone
- (302) 733-1980
- Mailing Fax
- (302) 733-1986
- Medical School Name
- OTHER
- Graduation Year
- 2021
- Is Sole Proprietor?
- No
- Enumeration Date
- 01-09-2021
- Last Update Date
- 06-08-2021
- Code Navigator
A primary care provider (PCP) like Eileen Smith sees people with common medical problems. The primary care provider might be a doctor, physician assistant, nurse practitioner or clinic that are usually involved in your long-term care. A PCP might provide preventive care, treat common medical conditions, identify urgent medical problems and refer you to specialists when necessary. Primary care is usually provided in an outpatient facility but if you are admitted to a hospital your PCP may assist in your care. The most common medical conditions seen by primary care providers are: hypertension, upper respiratory tract infections, depression or anxiety, back pain, arthritis, dermatitis, diabetes, urinary tract infections, etc
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Physician Assistant
- Taxonomy Code
- 363A00000X
- Type
- Physician Assistants & Advanced Practice Nursing Providers
- License No.
- C5-0011544
- License State
- DE
- Taxonomy Description
- A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
Secondary Taxonomies
The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.
| No. | Taxonomy Code | Type | Classification / Specialization |
License No. (State) |
|---|---|---|---|---|
| 1 | 363AM0700X | Physician Assistants & Advanced Practice Nursing Providers | Physician Assistant | |
| 2 | 363AS0400X | Physician Assistants & Advanced Practice Nursing Providers | Physician Assistant |
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
- AmeriHealth Caritas Next Bronze Essential + No Referrals - HMO
- AmeriHealth Caritas Next Bronze Premier + No Referrals - HMO
- AmeriHealth Caritas Next Bronze Signature + No Referrals - HMO
- AmeriHealth Caritas Next Gold Deluxe + No Referrals - HMO
- AmeriHealth Caritas Next Gold Signature + No Referrals - HMO
- AmeriHealth Caritas Next Silver Deluxe + No Referrals - HMO
- AmeriHealth Caritas Next Silver Premier + No Referrals - HMO
- AmeriHealth Caritas Next Silver Signature + No Referrals - HMO
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Medicare Participation & PECOS Enrollment Status
Eileen Smith is registered with Medicare and accepts claims assignment, this means the provider accepts the approved amount for the cost of rendered services as full payment. Participating providers may not charge beneficiaries more than the approved amount for their services. Please keep in mind that beneficiaries still have to pay a coinsurance or copayment amount for a visit or service.
Eileen Smith is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.
What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.
Is the provider registered in PECOS? Yes
PECOS PAC ID: 3870993090
What is the PECOS Associate Control ID?
A PAC ID is a unique 10-digit number assigned to an individual or organization healthcare provider in PECOS. The PAC ID is used to link together all the provider information, like tax identification numbers and organizational names. A PAC ID can be connected to multiple Enrollment IDs if an individual or organization has enrolled in PECOS more than once.PECOS Enrollment ID: I20210609003288
What is the Provider Enrollment ID?
The Enrollment ID is a unique alphanumeric 15-digit code assigned to each new provider's PECOS enrollment application. The Enrollment ID is used to link together all the provider enrollment information like enrollment type, state, provider specialty, and reassignment of benefits.Accepts Medicare Assignment? Yes
What does it mean "accepts medicare assignment"?
When a provider accepts Medicare assignment, the provider agrees to be paid directly by Medicare and to accept the payment amount approved by Medicare. Additionally, the provider agrees to not bill patients for more than the Medicare deductible and coinsurance amounts.
A provider who doesn't accept assignment may charge you up to 15% over the Medicare-approved amount. This is known as the limiting charge. You may have to pay this amount, or it may be covered by another insurer.Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes
Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes
Eligible to Order or Refer a Home Health Agency (HHA): Yes
Eligible to Order or Refer Power Mobility Devices: Yes
Areas of Expertise
The following services and procedures, recently provided to Medicare patients, illustrate the range of care this provider offers. This list reflects the variety of services available to all patients visiting the practice and is based on 2022 Medicare dataset. In general, the more frequently a provider treats specific conditions or performs particular procedures, the more experienced they become in addressing similar patient needs. The provider has delivered many of the services listed below to Medicare patients. Please note that this list does not include services provided to patients who are not covered by Medicare.
Coronary artery bypass graft (CABG)
Coronary artery bypass using artery graft, 1 graft
Coronary artery bypass using vein or artery graft, 2 grafts
Exclusion of appendage of left upper chamber of heart performed during other procedure on chest
Initial hospital inpatient care per day, typically 70 minutes
Coronary artery bypass graft (CABG) is a surgery to improve blood flow to your heart. It involves taking a blood vessel from another part of your body and using it to reroute blood around a blocked or narrowed artery in your heart. This can help reduce chest pain and minimize the risk of heart attacks.
This service was performed for 1-10 patientsA coronary artery bypass with one artery graft is a surgical procedure to improve blood flow to your heart. An artery from another part of your body is used to bypass a blocked or narrowed coronary artery. This can help reduce chest pain and risk of heart attack.
This service was performed 31 times for 31 patientsA coronary artery bypass with 2 grafts is a surgery to improve blood flow to your heart. A surgeon takes a healthy vein or artery from your body and attaches it to the blocked coronary artery. This creates a new path for blood to flow, bypassing the blockage.
This service was performed 18 times for 18 patientsThis is a procedure done on the heart's left upper chamber (atrium). The small pouch-like appendage is sealed off during another chest procedure. This is done to reduce the risk of blood clots forming and causing strokes.
This service was performed 13 times for 13 patientsInitial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
This service was performed 16 times for 16 patientsPhysician Visit Costs
The typical physician office visit costs for Medicare beneficiaries in this area are: $22.09 for a new patient copayment and $17.79 for an established patient copayment.
The pricing information below displays the copayment minimum, maximum and average amount that patients under Medicare are charged when visiting this provider as a new or established patient. Please keep in mind that these prices are just for reference purposes, and the actual prices charged by the provider might be different.
For patients covered under private health plans the prices below are also useful as healthcare pricing for private insurance is usually established as a function of Medicare prices. Private insurance covered patients should check their individual plans to determine the exact pricing.
The prices below reflect the costs for new and established patients in the 19718 ZIP code area.
New Patients Visit Costs *
The most utilized procedure code for new patients office visits is 99203
- Average New Patient Price $88.37
- Minimum New Patient Price $57.12
- Maximum New Patient Price $173.08
- Average New Patient Copayment $22.09
- Minimum New Patient Copayment $14.28
- Maximum New Patient Copayment $43.27
Established Patients Visit Costs *
The most utilized procedure code for established patients office visits is 99213
- Average Established Patient Price $71.19
- Minimum Established Patient Price $18.36
- Maximum Established Patient Price $141.05
- Average Established Patient Copayment $17.79
- Minimum Established Patient Copayment $4.59
- Maximum Established Patient Copayment $35.26
* The physician office visit costs information is generated by statistical analysis of similar providers in the same geographical area. The pricing information above IS NOT the amount charged by this provider.
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NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
| Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
| 1 | 1 | 9 | 4 | 3 | 1 | 3 | 6 | 6 | 8 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 1 | 18 | 4 | 6 | 1 | 6 | 6 | 12 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 1 + 1 + 8 + 4 + 6 + 1 + 6 + 6 + 1 + 2 + 24 = 62 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 70 - 62 = 8 | 8 | ||||||||
The NPI number 1194313668 is valid because the calculated check digit 8 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 14 providers are registered at the same or nearby location.
LAURA KRETZ MAYOVER CRNP
Nurse Practitioner
(Adult Health)
4755 OGLETOWN STANTON RD STE 1E50
NEWARK, DE
ZIP 19718
RYAN CHRISTOPHER SPADIN PA-C
Physician Assistant
4755 OGLETOWN STANTON RD STE 1E50
NEWARK, DE
ZIP 19718
MS. AMANDA JEAN KING PA-C
Physician Assistant
(Surgical)
4755 OGLETOWN STANTON RD STE 1E50
NEWARK, DE
ZIP 19718
MS. AMY NICOLE WERNER PA
Physician Assistant
4755 OGLETOWN STANTON RD STE 1E50
NEWARK, DE
ZIP 19718
DR. AHMAD AFTAB KHAN M.D.
Thoracic Surgery (Cardiothoracic Vascular Surgery)
4755 OGLETOWN STANTON RD STE 1E50
NEWARK, DE
ZIP 19718
NATALIE HOFFMAN PA-C
Physician Assistant
4755 OGLETOWN STANTON RD STE 1E50
NEWARK, DE
ZIP 19718
MARISSA LEIGH MAGID PA-C
Physician Assistant
4755 OGLETOWN STANTON RD STE 1E50
NEWARK, DE
ZIP 19718
SAMANTHA MARTIN PA-C
Physician Assistant
4755 OGLETOWN STANTON RD STE 1E50
NEWARK, DE
ZIP 19718
CHLOE MATHEW PA-C
Physician Assistant
4755 OGLETOWN STANTON RD STE 1E50
NEWARK, DE
ZIP 19718
DR. ALAIN S ASHER MD
Thoracic Surgery (Cardiothoracic Vascular Surgery)
4755 OGLETOWN STANTON RD STE 1E50
NEWARK, DE
ZIP 19718
MISS ZOE AMANDA AU PA-C
Physician Assistant
4755 OGLETOWN STANTON RD STE 1E50
NEWARK, DE
ZIP 19718
DR. JOSEPH THOMAS COSTIC DO
Thoracic Surgery (Cardiothoracic Vascular Surgery)
4755 OGLETOWN STANTON RD STE 1E50
NEWARK, DE
ZIP 19718
JOHN MARK POOL MD
Thoracic Surgery (Cardiothoracic Vascular Surgery)
4755 OGLETOWN STANTON RD STE 1E50
NEWARK, DE
ZIP 19718
JULIA LE
Physician Assistant
4755 OGLETOWN STANTON RD STE 1E50
NEWARK, DE
ZIP 19718
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1194313668, enumerated as an "individual" on January 09, 2021.
The provider is located at 4755 OGLETOWN STANTON RD STE 1E50 NEWARK, DE 19718 and the phone number is (302) 733-1980.
Physician Assistant with taxonomy code 363A00000X.
The provider might be accepting Accepts: AmeriHealth Caritas Next. Please consult your insurance carrier or call the provider to verify.
