Larry William Smith, LCSW 106859 in Cleveland, TN - Medicare Social Worker Provider

Larry William Smith, LCSW 106859 is a medicare enrolled "Social Worker - Clinical" provider in Cleveland, Tennessee. His current practice location is 1071 Crossing Way Nw, Cleveland, Tennessee. You can reach out to his office (for appointments etc.) via phone at (909) 440-0082.

Larry William Smith is licensed to practice in California (license number 106859) 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 1306366182.

Contact Information

	Larry William Smith, LCSW 106859
	1071 Crossing Way Nw, Cleveland, TN 37312-2867
	(909) 440-0082
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Larry William Smith
Gender	Male
Speciality	Social Worker - Clinical
Location	1071 Crossing Way Nw, Cleveland, Tennessee
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1306366182
Provider Enumeration Date: 06/22/2017
Last Update Date: 03/25/2022

Medicare PECOS Information:

PECOS PAC ID: 4385012954
Enrollment ID: I20221201003397

Medical Identifiers

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

Identifier	Type	State	Issuer
1306366182	NPI	-	NPPES
1306366182	Medicaid	CA

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
1041C0700X	Social Worker - Clinical	106859 (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. Larry William Smith allows following entities to bill medicare on his behalf.

Entity Name	Grow Healthcare Group Pc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1154994846 PECOS PAC ID: 1850774746 Enrollment ID: O20220809004080

Entity Name	Sud Specialty Group - Ca
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1972138238 PECOS PAC ID: 9537534177 Enrollment ID: O20230412001370

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. Larry William 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
Larry William Smith, LCSW 106859 1071 Crossing Way Nw, Cleveland, TN 37312-2867 Ph: (909) 440-0082	Larry William Smith, LCSW 106859 1071 Crossing Way Nw, Cleveland, TN 37312-2867 Ph: (909) 440-0082

Reviews and Comments

Social Worker in Cleveland, TN

Lisa Whittle, LCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 4160 Ocoee St N Ste 8, Cleveland, TN 37312 Phone: 423-290-3509
Julie Ann Hook, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 3505 Adkisson Dr Nw Ste 205, Cleveland, TN 37312 Phone: 423-368-5893
Ms. Julie A Holt, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 2700 Westside Dr Nw, Ste 309, Cleveland, TN 37312 Phone: 423-728-2282 Fax: 423-728-2234
Reba A Terry, LCSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 3520 Ozark St Nw, Cleveland, TN 37312 Phone: 423-421-7322
Amanda Jo Teague, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 3030 Blythe Rd Se, Cleveland, TN 37323 Phone: 423-331-2745
Rhonda V Roper, L.C.S.W. Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 2775 Executive Park Nw, Suite 1, Cleveland, TN 37312 Phone: 423-479-9652
Mrs. Kathleen Emerson Stulce, L.C.S.W. Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 2775 Executive Park Nw, Suite 1, Cleveland, TN 37312 Phone: 423-479-9652

Larry William Smith, LCSW 106859 - Medicare Clinical Social Worker in Cleveland, TN