Renee Small, in Phoenix, AZ - Medicare Counselor Provider

Renee Small, is a medicare enrolled "Counselor - Mental Health" provider in Phoenix, Arizona. Her current practice location is 16515 S 40th St Ste 119, Phoenix, Arizona. You can reach out to her office (for appointments etc.) via phone at (480) 272-8450.

Renee Small is licensed to practice in Arizona (license number LPC-22889) 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 1043860810.

Contact Information

	Renee Small,
	16515 S 40th St Ste 119, Phoenix, AZ 85048-0559
	(480) 272-8450
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Renee Small
Gender	Female
Speciality	Counselor - Mental Health
Location	16515 S 40th St Ste 119, Phoenix, Arizona
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1043860810
Provider Enumeration Date: 09/13/2019
Last Update Date: 03/10/2025

Medicare PECOS Information:

PECOS PAC ID: 2466973060
Enrollment ID: I20250312001350

Medical Identifiers

Medical identifiers for Renee Small such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1043860810	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
101YM0800X	Counselor - Mental Health	LPC-22889 (Arizona)	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. Renee Small allows following entities to bill medicare on her behalf.

Entity Name	Prisma Community Care
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1104929504 PECOS PAC ID: 3678518016 Enrollment ID: O20050625000018

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. Renee Small 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
Renee Small, 4802 E Ray Rd Ste 23-587, Phoenix, AZ 85044-6405 Ph: () -	Renee Small, 16515 S 40th St Ste 119, Phoenix, AZ 85048-0559 Ph: (480) 272-8450

Reviews and Comments

Counselor in Phoenix, AZ

Ms. Martha White, Counselor Medicare: Not Enrolled in Medicare Practice Location: 3306 W Catalina Dr, Phoenix, AZ 85017 Phone: 602-353-0703 Fax: 602-353-0715
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Mrs. Virginia Joyce Gatson, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1110 E Mcdowell Rd, Phoenix, AZ 85006 Phone: 602-685-1940 Fax: 602-685-1944
Margaret Ann Beresford, MC, ATR-BC, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 4545 N. 36th Street, Suite 117, Phoenix, AZ 85018 Phone: 602-509-5771
Kevin Jessup, LAC Counselor Medicare: Not Enrolled in Medicare Practice Location: 4214 N 19th Pl, Phoenix, AZ 85016 Phone: 602-460-5350

Renee Small, - Medicare Counselor in Phoenix, AZ