Micah Jovan Smith, is a
Rehabilitation Practitioner based in Las Vegas, Nevada. Micah Jovan Smith is licensed to practice in * (Not Available) (license number ) and his current practice location is
2755 E Desert Inn Rd Ste 130, Las Vegas, Nevada. He can be reached at his office (for appointments etc.) via phone at
(702) 490-9009.
NPI number for Micah Jovan Smith is 1316440308 and his current mailing address is 2755 E Desert Inn Rd Ste 130, Las Vegas, Nevada. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1316440308.
Healthcare Provider's Profile
| Full Name | Micah Jovan Smith |
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| Gender | Male |
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| Speciality | Rehabilitation Practitioner |
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| Location | 2755 E Desert Inn Rd Ste 130, Las Vegas, Nevada |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1316440308
- Provider Enumeration Date: 03/15/2018
- Last Update Date: 08/21/2026
Medical Identifiers
Medical identifiers for Micah Jovan Smith such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1316440308 | NPI | - | NPPES |
| 02294-I | Other | NV | BOARD OF EXAMINERSFOR ALCOHOL AND DRUG AND GAMBELING COUNSELORS |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | (* (Not Available)) | Secondary |
| 225400000X | Rehabilitation Practitioner | (* (Not Available)) | 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. Micah Jovan Smith is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Micah Jovan Smith,
2755 E Desert Inn Rd Ste 130,
Las Vegas, NV 89121-3690
Ph: (702) 490-9009 | Micah Jovan Smith,
2755 E Desert Inn Rd Ste 130,
Las Vegas, NV 89121-3690
Ph: (702) 490-9009 |
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