Stephanie Smith, LCSW, LAC is a medicare enrolled "Social Worker - Clinical" provider in Mancos, Colorado. Her current practice location is
520 Bauer Ave, Mancos, Colorado. You can reach out to her office (for appointments etc.) via phone at
(619) 922-3266.
Stephanie Smith is licensed to practice in Colorado (license number CSW.09925906) 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 1063143121.
Healthcare Provider's Profile
Full Name | Stephanie Smith |
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Gender | Female |
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Speciality | Social Worker - Clinical |
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Location | 520 Bauer Ave, Mancos, Colorado |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1063143121
- Provider Enumeration Date: 06/20/2022
- Last Update Date: 06/20/2022
Medicare PECOS Information:
- PECOS PAC ID: 2567824360
- Enrollment ID: I20230810002046
Medical Identifiers
Medical identifiers for Stephanie Smith such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1063143121 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
101YA0400X | Counselor - Addiction (substance Use Disorder) | ACD.0001467 (Colorado) | Secondary |
1041C0700X | Social Worker - Clinical | CSW.09925906 (Colorado) | 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. Stephanie Smith allows following entities to bill medicare on her behalf.
Entity Name | Sondermind Provider Network Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1760854442 PECOS PAC ID: 9537572490 Enrollment ID: O20210113002826 |
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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. Stephanie 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 |
Stephanie Smith, LCSW, LAC 520 Bauer Ave, Mancos, CO 81328-9241 Ph: () - | Stephanie Smith, LCSW, LAC 520 Bauer Ave, Mancos, CO 81328-9241 Ph: (619) 922-3266 |
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