Samantha Smith, in Portland, OR - Medicare Clinical Psychologist Provider

Samantha Smith, is a medicare enrolled "Psychologist" provider in Portland, Oregon. She graduated from healthcare school in 2023 and has 3 years of diverse experience with area of expertise as Clinical Psychologist. She is a member of the group practice West Virginia University Medical Corporation and her current practice location is 1411 Sw Morrison St Ste 310, Portland, Oregon. You can reach out to her office (for appointments etc.) via phone at (503) 352-2400.

Samantha Smith is licensed to practice in West Virginia (license number 1383) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1568951432.

Contact Information

	Samantha Smith,
	1411 Sw Morrison St Ste 310, Portland, OR 97205-1945
	(503) 352-2400
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Samantha Smith
Gender	Female
Speciality	Clinical Psychologist
Experience	3 Years
Location	1411 Sw Morrison St Ste 310, Portland, Oregon
Accepts Medicare Assignments	Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Samantha Smith graduated from medical school in 2023

NPI Data:

NPI Number: 1568951432
Provider Enumeration Date: 05/07/2018
Last Update Date: 10/08/2025

Medicare PECOS Information:

PECOS PAC ID: 3173010972
Enrollment ID: I20251015002123

Medical Identifiers

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

Identifier	Type	State	Issuer
1568951432	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
101YM0800X	Counselor - Mental Health	(* (Not Available))	Secondary
103T00000X	Psychologist	1383 (West Virginia)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
West Virginia University Hospitals, Inc	Morgantown, WV	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
West Virginia University Medical Corporation	1052224565	1974

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. Samantha Smith allows following entities to bill medicare on her behalf.

Entity Name	West Virginia University Medical Corporation
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1275504508 PECOS PAC ID: 1052224565 Enrollment ID: O20031111000207

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. Samantha 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
Samantha Smith, 1411 Sw Morrison St Ste 310, Portland, OR 97205-1945 Ph: Not Available	Samantha Smith, 1411 Sw Morrison St Ste 310, Portland, OR 97205-1945 Ph: (503) 352-2400

Samantha Smith, - Medicare Counselor in Portland, OR