Phillip Smith, in Lewiston, ID - Medicare Counselor Provider

Phillip Smith, is a medicare enrolled "Counselor - Mental Health" provider in Lewiston, Idaho. His current practice location is 1203 Idaho St, Lewiston, Idaho. You can reach out to his office (for appointments etc.) via phone at (509) 444-8888.

Phillip Smith is licensed to practice in Idaho (license number LCPC-9211) 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 1992943385.

Contact Information

	Phillip Smith,
	1203 Idaho St, Lewiston, ID 83501-1940
	(509) 444-8888
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Phillip Smith
Gender	Male
Speciality	Counselor - Mental Health
Location	1203 Idaho St, Lewiston, Idaho
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1992943385
Provider Enumeration Date: 01/23/2009
Last Update Date: 04/30/2025

Medicare PECOS Information:

PECOS PAC ID: 4880037183
Enrollment ID: I20240202002830

Medical Identifiers

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

Identifier	Type	State	Issuer
1992943385	NPI	-	NPPES
60022726	Other	WA	STATE LICENSE

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
101YM0800X	Counselor - Mental Health	LCPC-9211 (Idaho)	Primary
101Y00000X	Counselor	6366 (Idaho)	Secondary
101YM0800X	Counselor - Mental Health	60022726 (Washington)	Secondary

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. Phillip Smith allows following entities to bill medicare on his behalf.

Entity Name	Community Health Association Of Spokane
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1235372707 PECOS PAC ID: 9638063217 Enrollment ID: O20090723000312

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. Phillip 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
Phillip Smith, 611 N Iron Bridge Way, Spokane, WA 99202-4932 Ph: (509) 444-8888	Phillip Smith, 1203 Idaho St, Lewiston, ID 83501-1940 Ph: (509) 444-8888

Reviews and Comments

Counselor in Lewiston, ID

Melinda Ellen Cook, LCSW, SA Counselor Medicare: Not Enrolled in Medicare Practice Location: 312 Miller St, Lewiston, ID 83501 Phone: 208-750-1802 Fax: 208-750-1803
Mr. Anthony Brian Tenny, CADC Counselor Medicare: Not Enrolled in Medicare Practice Location: 1720 18th Ave, Lewiston, ID 83501 Phone: 208-816-0015
Mr. Larry Bearden, M.S. Counselor Medicare: Not Enrolled in Medicare Practice Location: 428 6th Ave, Lewiston, ID 83501 Phone: 208-799-6500 Fax: 208-799-6504
Beverly Lynn Fowler, LPC, ACADC Counselor Medicare: Medicare Enrolled Practice Location: 2337 3rd Ave N, Lewiston, ID 83501 Phone: 509-444-8200 Fax: 509-434-0392
Sara Light Bennett, LPC, CADC Counselor Medicare: Not Enrolled in Medicare Practice Location: 1720 18th Ave, Lewiston, ID 83501 Phone: 208-746-4097 Fax: 208-746-2294
Ms. Sandra D. Godfrey, MA, LCPC, LMFT Counselor Medicare: Medicare Enrolled Practice Location: 0309 2nd St, Lewiston, ID 83501 Phone: 208-746-0137 Fax: 298-746-8685
Crystal Ann Nystrom, LCPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 2335 Main St, Lewiston, ID 83501 Phone: 208-791-0129 Fax: 208-743-1170

Phillip Smith, - Medicare Counselor in Lewiston, ID