Amy Smith, PSYD is a medicare enrolled "Psychologist" provider in Punta Gorda, Florida. Her current practice location is
1700 Education Ave, Punta Gorda, Florida. You can reach out to her office (for appointments etc.) via phone at
(941) 661-7730.
Amy Smith is licensed to practice in Florida (license number 11069) 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 1497068878.
Healthcare Provider's Profile
Full Name | Amy Smith |
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Gender | Female |
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Speciality | Psychologist |
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Location | 1700 Education Ave, Punta Gorda, Florida |
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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: 1497068878
- Provider Enumeration Date: 07/14/2010
- Last Update Date: 12/08/2022
Medicare PECOS Information:
- PECOS PAC ID: 5395116081
- Enrollment ID: I20230117000324
Medical Identifiers
Medical identifiers for Amy Smith such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1497068878 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
101YM0800X | Counselor - Mental Health | (* (Not Available)) | Secondary |
103TC0700X | Psychologist - Clinical | 28280 (California) | Secondary |
103T00000X | Psychologist | 11069 (Florida) | 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. Amy Smith allows following entities to bill medicare on her behalf.
Entity Name | Mcr Health Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1255376000 PECOS PAC ID: 7214847995 Enrollment ID: O20040126000213 |
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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. Amy 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 |
Amy Smith, PSYD 1555 Albatross Dr, Punta Gorda, FL 33950-8260 Ph: (510) 931-9291 | Amy Smith, PSYD 1700 Education Ave, Punta Gorda, FL 33950-6222 Ph: (941) 661-7730 |
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