Jacqueline Smith, LPC in Casa Grande, AZ - Medicare Counselor Provider

Jacqueline Smith, LPC is a medicare enrolled "Counselor - Professional" provider in Casa Grande, Arizona. Her current practice location is 210 E Cottonwood Ln, Casa Grande, Arizona. You can reach out to her office (for appointments etc.) via phone at (520) 836-1688.

Jacqueline Smith is licensed to practice in Arizona (license number LPC-18314) 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 1457994287.

Contact Information

	Jacqueline Smith, LPC
	210 E Cottonwood Ln, Casa Grande, AZ 85122-2514
	(520) 836-1688
	(520) 421-2708

Map and Direction

Healthcare Provider's Profile

Full Name	Jacqueline Smith
Gender	Female
Speciality	Counselor - Professional
Location	210 E Cottonwood Ln, Casa Grande, Arizona
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1457994287
Provider Enumeration Date: 10/24/2019
Last Update Date: 10/28/2019

Medicare PECOS Information:

PECOS PAC ID: 0143673244
Enrollment ID: I20240125000012

Medical Identifiers

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

Identifier	Type	State	Issuer
1457994287	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
101YP2500X	Counselor - Professional	LPC-18314 (Arizona)	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. Jacqueline Smith allows following entities to bill medicare on her behalf.

Entity Name	Phoenix Children's Hospital
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1922112044 PECOS PAC ID: 0446278584 Enrollment ID: O20051107000704

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. Jacqueline 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
Jacqueline Smith, LPC 210 E Cottonwood Ln, Casa Grande, AZ 85122-2514 Ph: () -	Jacqueline Smith, LPC 210 E Cottonwood Ln, Casa Grande, AZ 85122-2514 Ph: (520) 836-1688

Reviews and Comments

Counselor in Casa Grande, AZ

Sandra A Murdock, Counselor Medicare: Not Enrolled in Medicare Practice Location: 102 N Florence St, Casa Grande, AZ 85122 Phone: 520-836-1675 Fax: 520-836-1668
Deborah A Allen, LISAC Counselor Medicare: Not Enrolled in Medicare Practice Location: 120 W Main St, Casa Grande, AZ 85222 Phone: 520-836-1675 Fax: 520-421-1969
Mr. Peter Anthony Picone, M.ED., LISAC Counselor Medicare: Not Enrolled in Medicare Practice Location: 900 E Florence Blvd Ste G, Casa Grande, AZ 85122 Phone: 520-836-4278
Miss Cynthia D. Varnay, MC, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 1901 N Trekell Rd, Casa Grande, AZ 85222 Phone: 520-421-2566 Fax: 520-421-2775
Sara Chase, BA Counselor Medicare: Not Enrolled in Medicare Practice Location: 413 E Florence Blvd, Casa Grande, AZ 85122 Phone: 520-876-5764 Fax: 520-876-5913
Dr. Elizabeth Ann Faulkner, ED.D., LISAC. LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 425 N Lincoln Ave, Casa Grande, AZ 85222 Phone: 520-426-9540 Fax: 520-836-9016
Dawna Lee Cranmer, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1851 N Westfall Ln, Casa Grande, AZ 85122 Phone: 970-619-1494

Jacqueline Smith, LPC - Medicare Counselor in Casa Grande, AZ