Ms Kelly Smith Dwyer, LPC in Portsmouth, VA - Medicare Counselor Provider

Ms Kelly Smith Dwyer, LPC is a medicare enrolled "Counselor - Professional" provider in Portsmouth, Virginia. Her current practice location is 1811 King St, Portsmouth, Virginia. You can reach out to her office (for appointments etc.) via phone at (757) 393-8618.

Ms Kelly Smith Dwyer is licensed to practice in Virginia (license number 0701013510) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1386490217.

Contact Information

	Ms Kelly Smith Dwyer, LPC
	1811 King St, Portsmouth, VA 23704-3032
	(757) 393-8618
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Ms Kelly Smith Dwyer
Gender	Female
Speciality	Counselor - Professional
Location	1811 King St, Portsmouth, Virginia
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1386490217
Provider Enumeration Date: 04/30/2024
Last Update Date: 04/30/2024

Medicare PECOS Information:

PECOS PAC ID: 7618400151
Enrollment ID: I20241023001024

Medical Identifiers

Medical identifiers for Ms Kelly Smith Dwyer such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1386490217	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
101Y00000X	Counselor	0701013510 (Virginia)	Secondary
101YA0400X	Counselor - Addiction (substance Use Disorder)	0701013510 (Virginia)	Secondary
101YM0800X	Counselor - Mental Health	0701013510 (Virginia)	Secondary
101YP2500X	Counselor - Professional	0701013510 (Virginia)	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. Ms Kelly Smith Dwyer allows following entities to bill medicare on her behalf.

Entity Name	City Of Portsmouth
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1093891699 PECOS PAC ID: 9032173877 Enrollment ID: O20041112000176

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. Ms Kelly Smith Dwyer 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
Ms Kelly Smith Dwyer, LPC 1004 Echols Rd Apt 203, Suffolk, VA 23435-0177 Ph: (757) 297-1510	Ms Kelly Smith Dwyer, LPC 1811 King St, Portsmouth, VA 23704-3032 Ph: (757) 393-8618

Reviews and Comments

Counselor in Portsmouth, VA

Tiffany Renee Smith-lagerberg, Counselor Medicare: Not Enrolled in Medicare Practice Location: 2701 Roanoke Ave, Portsmouth, VA 23704 Phone: 757-575-4456
Ms. Maxine Cecilia Green, LCSW Counselor Medicare: Not Enrolled in Medicare Practice Location: 1634 London Blvd, Portsmouth, VA 23704 Phone: 757-393-7200
Angela Callahan, LPC, NCC Counselor Medicare: Not Enrolled in Medicare Practice Location: 500 Washington St, Portsmouth, VA 23704 Phone: 757-372-7868 Fax: 757-419-5365
Nicole Billingslea, QMHP-T Counselor Medicare: Not Enrolled in Medicare Practice Location: 348 Washington St Apt 5, Portsmouth, VA 23704 Phone: 716-450-7770
Karen L Mckinley, PSY D LCSW LMFT Counselor Medicare: Accepting Medicare Assignments Practice Location: 3300 Academy Ave, Academy Crossing Medical Plaza, Portsmouth, VA 23703 Phone: 757-483-6404 Fax: 757-483-0737
Ms. Kawanna Evette Ward, LCSW, CSAC, CSOTP Counselor Medicare: Accepting Medicare Assignments Practice Location: 1634 London Blvd, Portsmouth, VA 23704 Phone: 757-966-1889
Meagan Elise Graham, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 301 Fort Ln, Portsmouth, VA 23704 Phone: 757-391-5909

Ms Kelly Smith Dwyer, LPC - Medicare Counselor in Portsmouth, VA