Dr Andrew Roy Smith, in Stockton, CA - Medicare Psychologist Provider

Dr Andrew Roy Smith, is a medicare enrolled "Psychologist" provider in Stockton, California. His current practice location is 7510 Shoreline Dr, Ste A-5, Stockton, California. You can reach out to his office (for appointments etc.) via phone at (209) 477-1717.

Dr Andrew Roy Smith is licensed to practice in California (license number PSY15081) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1225144967.

Contact Information

	Dr Andrew Roy Smith,
	7510 Shoreline Dr, Ste A-5, Stockton, CA 95219
	(209) 477-1717
	(509) 477-1717

Map and Direction

Healthcare Provider's Profile

Full Name	Dr Andrew Roy Smith
Gender	Male
Speciality	Psychologist
Location	7510 Shoreline Dr, Stockton, California
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1225144967
Provider Enumeration Date: 08/23/2006
Last Update Date: 09/29/2020

Medicare PECOS Information:

PECOS PAC ID: 4880006709
Enrollment ID: I20201218000170

Medical Identifiers

Medical identifiers for Dr Andrew Roy Smith such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1225144967	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
103T00000X	Psychologist	15081 (California)	Secondary
103T00000X	Psychologist	PSY15081 (California)	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. Dr Andrew Roy Smith allows following entities to bill medicare on his behalf.

Entity Name	County Of San Joaquin
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1801830583 PECOS PAC ID: 6002703436 Enrollment ID: O20040301001287

Entity Name	San Joaquin Faculty Medical Group
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1225063761 PECOS PAC ID: 4082631395 Enrollment ID: O20051026000742

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. Dr Andrew Roy 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
Dr Andrew Roy Smith, 7510 Shoreline Dr, Ste A-5, Stockton, CA 95219 Ph: (209) 477-1717	Dr Andrew Roy Smith, 7510 Shoreline Dr, Ste A-5, Stockton, CA 95219 Ph: (209) 477-1717

Reviews and Comments

Psychologist in Stockton, CA

Nicole Takla, PSYD Psychologist Medicare: Not Enrolled in Medicare Practice Location: 7707 Austin Rd, Stockton, CA 95215 Phone: 209-467-4398
Dr. Kangho Ang, Psychologist Medicare: Not Enrolled in Medicare Practice Location: 7707 Austin Rd, Stockton, CA 95215 Phone: 209-467-8546
Susan Demotte, Psychologist Medicare: Not Enrolled in Medicare Practice Location: 1164 W Benjamin Holt Dr, Stockton, CA 95207 Phone: 209-403-4403
Dr. Robert Phil Park, PSY.D. Psychologist Medicare: Medicare Enrolled Practice Location: 1305 Tommydon St, Stockton, CA 95210 Phone: 209-476-5211
Dr. Jodie N Perez, PSYD Psychologist Medicare: Medicare Enrolled Practice Location: 7707 Austin Rd, Stockton, CA 95215 Phone: 925-381-7887
Dr. Steven Cartwright, PSY.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 7707 S. Austin Road, Department Of State Hospitals-stockton, Stockton, CA 95215 Phone: 916-654-2351
Dr. Melissa Lynn Keane, PHD Psychologist Medicare: Medicare Enrolled Practice Location: 7373 West Ln, Stockton, CA 95210 Phone: 209-476-5129

Dr Andrew Roy Smith, - Medicare Psychologist in Stockton, CA