Jeremiah T Smith, in Cleveland, OH - Medicare Counselor Provider

Jeremiah T Smith, is a medicare enrolled "Counselor" provider in Cleveland, Ohio. His current practice location is 4269 Pearl Rd Fl 3, Cleveland, Ohio. You can reach out to his office (for appointments etc.) via phone at (216) 431-4131.

Jeremiah T Smith is licensed to practice in * (Not Available) (license number C.2103198) 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 1063046043.

Contact Information

	Jeremiah T Smith,
	4269 Pearl Rd Fl 3, Cleveland, OH 44109-4234
	(216) 431-4131
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Jeremiah T Smith
Gender	Male
Speciality	Counselor
Location	4269 Pearl Rd Fl 3, Cleveland, Ohio
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1063046043
Provider Enumeration Date: 02/27/2020
Last Update Date: 11/30/2022

Medicare PECOS Information:

PECOS PAC ID: 1658715255
Enrollment ID: I20240222002428

Medical Identifiers

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

Identifier	Type	State	Issuer
1063046043	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
101Y00000X	Counselor	C.2103198 (* (Not Available))	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. Jeremiah T Smith allows following entities to bill medicare on his behalf.

Entity Name	Mindfully Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1972702520 PECOS PAC ID: 3476606252 Enrollment ID: O20090727000253

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. Jeremiah T 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
Jeremiah T Smith, 4269 Pearl Rd Fl 3, Cleveland, OH 44109-4234 Ph: (216) 431-4131	Jeremiah T Smith, 4269 Pearl Rd Fl 3, Cleveland, OH 44109-4234 Ph: (216) 431-4131

Reviews and Comments

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Jeremiah T Smith, - Medicare Counselor in Cleveland, OH