Brooke Kristen Smith, in Two Rivers, WI - Medicare Counselor Provider

Brooke Kristen Smith, is a medicare enrolled "Counselor - Professional" provider in Two Rivers, Wisconsin. Her current practice location is 3120 Memorial Dr, Two Rivers, Wisconsin. You can reach out to her office (for appointments etc.) via phone at (920) 657-1780.

Brooke Kristen Smith is licensed to practice in Wisconsin (license number 4916-226) 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 1518542307.

Contact Information

	Brooke Kristen Smith,
	3120 Memorial Dr, Two Rivers, WI 54241-3229
	(920) 657-1780
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Brooke Kristen Smith
Gender	Female
Speciality	Counselor - Professional
Location	3120 Memorial Dr, Two Rivers, Wisconsin
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1518542307
Provider Enumeration Date: 03/12/2021
Last Update Date: 03/12/2021

Medicare PECOS Information:

PECOS PAC ID: 4688018385
Enrollment ID: I20240221002926

Medical Identifiers

Medical identifiers for Brooke Kristen Smith such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1518542307	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
101YP2500X	Counselor - Professional	4916-226 (Wisconsin)	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. Brooke Kristen Smith allows following entities to bill medicare on her behalf.

Entity Name	Lakeshore Community Health Care, Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1245520519 PECOS PAC ID: 3173773124 Enrollment ID: O20130605000747

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. Brooke Kristen 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
Brooke Kristen Smith, 3120 Memorial Dr, Two Rivers, WI 54241-3229 Ph: (920) 657-1780	Brooke Kristen Smith, 3120 Memorial Dr, Two Rivers, WI 54241-3229 Ph: (920) 657-1780

Reviews and Comments

Counselor in Two Rivers, WI

Jason Jeffrey Hoyt, Counselor Medicare: Not Enrolled in Medicare Practice Location: 3120 Memorial Dr, Two Rivers, WI 54241 Phone: 920-657-1780 Fax: 920-657-1784
Ashley Derenne, LPC-T Counselor Medicare: Not Enrolled in Medicare Practice Location: 3120 Memorial Dr, Two Rivers, WI 54241 Phone: 920-657-1780
Mrs. Melissa V Howard-argall, MACC, LPC-IT Counselor Medicare: Medicare Enrolled Practice Location: 5300 Memorial Dr, Two Rivers, WI 54241 Phone: 920-793-7420 Fax: 920-793-7430
Kathleen Stiteley, MA, LPC-IT Counselor Medicare: Not Enrolled in Medicare Practice Location: 3120 Memorial Dr, Two Rivers, WI 54241 Phone: 920-657-1780 Fax: 920-657-1784
Mrs. Susan Springstube, Counselor Medicare: Not Enrolled in Medicare Practice Location: 117 B Gardner St, Two Rivers, WI 54241 Phone: 920-629-2074
Ms. Karrie May Kudrna Behrent, LPC-IT Counselor Medicare: Not Enrolled in Medicare Practice Location: Phoenix Behavioral Health Services Llc, 3120 Memorial Dr., Two Rivers, WI 54241 Phone: 920-657-1780 Fax: 920-657-1784

Brooke Kristen Smith, - Medicare Counselor in Two Rivers, WI