David Smith, LPC in Kenosha, WI - Medicare Counselor Provider

David Smith, LPC is a medicare enrolled "Counselor - Professional" provider in Kenosha, Wisconsin. His current practice location is 10900 67th Street, Kenosha, Wisconsin. You can reach out to his office (for appointments etc.) via phone at (262) 914-7422.

David Smith is licensed to practice in Wisconsin (license number 6231-125) 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 1720538499.

Contact Information

	David Smith, LPC
	10900 67th Street, Kenosha, WI 53142
	(262) 914-7422
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	David Smith
Gender	Male
Speciality	Counselor - Professional
Location	10900 67th Street, Kenosha, Wisconsin
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1720538499
Provider Enumeration Date: 10/06/2016
Last Update Date: 10/06/2016

Medicare PECOS Information:

PECOS PAC ID: 0345785572
Enrollment ID: I20240712000555

Medical Identifiers

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

Identifier	Type	State	Issuer
1720538499	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
101YP2500X	Counselor - Professional	6231-125 (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. David Smith allows following entities to bill medicare on his behalf.

Entity Name	Abg Wellness Group Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1184087389 PECOS PAC ID: 0345536785 Enrollment ID: O20160909002340

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 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 Smith, LPC 5439 Durand Ave, Suite 240b, Mount Pleasant, WI 53406-5058 Ph: (262) 914-7422	David Smith, LPC 10900 67th Street, Kenosha, WI 53142 Ph: (262) 914-7422

Reviews and Comments

Counselor in Kenosha, WI

La Shanda Tolefree, BA, MS Counselor Medicare: Medicare Enrolled Practice Location: 3536 52nd St, Kenosha, WI 53144 Phone: 262-842-0538 Fax: 262-842-0539
Ann M Grossman, MS, LPC-IT Counselor Medicare: Not Enrolled in Medicare Practice Location: 6321 23rd Ave, Kenosha, WI 53143 Phone: 414-455-3879 Fax: 866-719-3024
Stephanie L Mayberry, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 6127 Green Bay Rd Ste 200, Kenosha, WI 53142 Phone: 262-654-8366 Fax: 262-842-0444
Jami Lynn Pomeroy, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 1400 75th St, Kenosha, WI 53143 Phone: 262-909-6008
Aislynn Nall, Counselor Medicare: Not Enrolled in Medicare Practice Location: 6121 Green Bay Rd Ste 200, Kenosha, WI 53142 Phone: 262-864-1141 Fax: 262-351-0132
Kathleen M Bullard, MS, LPC-IT, SAC-IT Counselor Medicare: Not Enrolled in Medicare Practice Location: 4003 80th St Ste 101, Kenosha, WI 53142 Phone: 262-806-1467 Fax: 262-661-7702
Monica Christian, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 2108 63rd St, Kenosha, WI 53143 Phone: 262-652-2406

David Smith, LPC - Medicare Counselor in Kenosha, WI