Derrick Wayne Smith, MD, LMHCA, MA is a medicare enrolled "Psychiatry & Neurology - Psychiatry" provider in Seattle, Washington. His current practice location is
7500 Banner Way Ne, Seattle, Washington. You can reach out to his office (for appointments etc.) via phone at
(206) 427-4679.
Derrick Wayne Smith is licensed to practice in Washington (license number MD.61597266) 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 1750546412.
Healthcare Provider's Profile
Full Name | Derrick Wayne Smith |
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Gender | Male |
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Speciality | Psychiatry & Neurology - Psychiatry |
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Location | 7500 Banner Way Ne, Seattle, Washington |
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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: 1750546412
- Provider Enumeration Date: 07/22/2008
- Last Update Date: 11/15/2024
Medicare PECOS Information:
- PECOS PAC ID: 0042693616
- Enrollment ID: I20220815000795
Medical Identifiers
Medical identifiers for Derrick Wayne Smith such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1750546412 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
101Y00000X | Counselor | (* (Not Available)) | Secondary |
101YM0800X | Counselor - Mental Health | (* (Not Available)) | Secondary |
102L00000X | Psychoanalyst | (* (Not Available)) | Secondary |
2084P0800X | Psychiatry & Neurology - Psychiatry | MD.61597266 (Washington) | Primary |
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. Derrick Wayne 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 |
Derrick Wayne Smith, MD, LMHCA, MA 507 Brompton Ln, Bossier City, LA 71111-8208 Ph: (818) 515-7991 | Derrick Wayne Smith, MD, LMHCA, MA 7500 Banner Way Ne, Seattle, WA 98115-4176 Ph: (206) 427-4679 |
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