David Shane Smith, in Dubuque, IA - Medicare Counselor Provider

David Shane Smith, is a medicare enrolled "Counselor - Mental Health" provider in Dubuque, Iowa. His current practice location is 2485 Maryville Dr, Dubuque, Iowa. You can reach out to his office (for appointments etc.) via phone at (563) 590-8847.

David Shane Smith is licensed to practice in Iowa (license number 254) 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 1508370198.

Contact Information

	David Shane Smith,
	2485 Maryville Dr, Dubuque, IA 52001-1663
	(563) 590-8847
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	David Shane Smith
Gender	Male
Speciality	Counselor - Mental Health
Location	2485 Maryville Dr, Dubuque, Iowa
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1508370198
Provider Enumeration Date: 11/19/2017
Last Update Date: 11/19/2017

Medicare PECOS Information:

PECOS PAC ID: 3779005988
Enrollment ID: I20250318000456

Medical Identifiers

Medical identifiers for David Shane Smith such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1508370198	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
101YM0800X	Counselor - Mental Health	254 (Iowa)	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. David Shane Smith allows following entities to bill medicare on his behalf.

Entity Name	Mental Health Specialty Group Pa
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1801472634 PECOS PAC ID: 8921466228 Enrollment ID: O20250317000376

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. David Shane 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
David Shane Smith, 2485 Maryville Dr, Dubuque, IA 52001-1663 Ph: () -	David Shane Smith, 2485 Maryville Dr, Dubuque, IA 52001-1663 Ph: (563) 590-8847

Reviews and Comments

Counselor in Dubuque, IA

Matthew David Leifker, MS, CADC Counselor Medicare: Not Enrolled in Medicare Practice Location: 799 Main St Ste 110, Dubuque, IA 52001 Phone: 563-582-3784 Fax: 563-582-4006
Sabrina Vonderhaar, LMHC, IADC Counselor Medicare: Not Enrolled in Medicare Practice Location: 250 Mercy Dr, Dubuque, IA 52001 Phone: 563-589-8087 Fax: 563-589-8297
Mrs. Kristin Camille Nolen, MA Counselor Medicare: Not Enrolled in Medicare Practice Location: 200 Mercy Dr Ste 200, Dubuque, IA 52001 Phone: 563-582-0145 Fax: 563-582-0722
Alison Deborah Schneider, LMSW Counselor Medicare: Not Enrolled in Medicare Practice Location: 505 Cedar Cross Rd, Dubuque, IA 52003 Phone: 563-307-1553
Sophie Rossman, Counselor Medicare: Not Enrolled in Medicare Practice Location: 210 Jones St Ste 210, Dubuque, IA 52001 Phone: 563-543-7634
Mrs. Genevieve A Balajadia, MA, T-CADC Counselor Medicare: Not Enrolled in Medicare Practice Location: 799 Main St Ste 110, Dubuque, IA 52001 Phone: 563-582-3784 Fax: 563-582-4006
Gretchen Bradshaw, MS PSYCHOLOGY, CADC Counselor Medicare: Not Enrolled in Medicare Practice Location: 770 Iowa St, Dubuque, IA 52001 Phone: 563-587-3614

David Shane Smith, - Medicare Counselor in Dubuque, IA