Dr Jennifer Smith, PHD is a medicare enrolled "Psychologist - Clinical" provider in Rockaway Park, New York. She graduated from medical school in 2002 and has 22 years of diverse experience with area of expertise as Clinical Psychologist. Her current practice location is
12904 Newport Ave, Rockaway Park, New York. You can reach out to her office (for appointments etc.) via phone at
(347) 523-5321.
Dr Jennifer Smith is licensed to practice in New York (license number 015747-1) and she also participates in the medicare program. She
accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1982026100.
Healthcare Provider's Profile
Full Name | Dr Jennifer Smith |
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Gender | Female |
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Speciality | Clinical Psychologist |
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Experience | 22 Years |
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Location | 12904 Newport Ave, Rockaway Park, New York |
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Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Medical Education and Training:
- Dr Jennifer Smith graduated from medical school in 2002
NPI Data:
- NPI Number: 1982026100
- Provider Enumeration Date: 01/07/2014
- Last Update Date: 12/02/2022
Medicare PECOS Information:
- PECOS PAC ID: 8022234830
- Enrollment ID: I20170815002697
Medical Identifiers
Medical identifiers for Dr Jennifer Smith such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1982026100 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
103TC0700X | Psychologist - Clinical | 015747-1 (New York) | Primary |
103TC0700X | Psychologist - Clinical | SI1005289 (New Jersey) | Secondary |
103TC0700X | Psychologist - Clinical | 35SI00528900 (New Jersey) | Secondary |
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 Jennifer Smith allows following entities to bill medicare on her behalf.
Entity Name | Jennifer Smith Psychologist Pc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1235650201 PECOS PAC ID: 5496027278 Enrollment ID: O20170815002076 |
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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. Dr Jennifer 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 Jennifer Smith, PHD 44 Point Breeze Ave, Breezy Point, NY 11697-1621 Ph: (917) 355-2031 | Dr Jennifer Smith, PHD 12904 Newport Ave, Rockaway Park, NY 11694-1617 Ph: (347) 523-5321 |
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