Shelby Bryne Matt-smith, LPC in Medford, OR - Medicare Counselor Provider

Shelby Bryne Matt-smith, LPC is a medicare enrolled "Counselor - Professional" provider in Medford, Oregon. Her current practice location is 900 E Main St, Medford, Oregon. You can reach out to her office (for appointments etc.) via phone at (541) 500-0977.

Shelby Bryne Matt-smith is licensed to practice in Oregon (license number C7737) 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 1053967570.

Contact Information

	Shelby Bryne Matt-smith, LPC
	900 E Main St, Medford, OR 97504-7136
	(541) 500-0977
	(541) 842-7640

Map and Direction

Healthcare Provider's Profile

Full Name	Shelby Bryne Matt-smith
Gender	Female
Speciality	Counselor - Professional
Location	900 E Main St, Medford, Oregon
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1053967570
Provider Enumeration Date: 08/12/2019
Last Update Date: 10/10/2023

Medicare PECOS Information:

PECOS PAC ID: 2961925698
Enrollment ID: I20250402003277

Medical Identifiers

Medical identifiers for Shelby Bryne Matt-smith such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1053967570	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
101YP2500X	Counselor - Professional	C7737 (Oregon)	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. Shelby Bryne Matt-smith allows following entities to bill medicare on her behalf.

Entity Name	Rogue Community Health
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1073511721 PECOS PAC ID: 1557266236 Enrollment ID: O20040226000885

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. Shelby Bryne Matt-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
Shelby Bryne Matt-smith, LPC 1000 E Main St, Medford, OR 97504-7667 Ph: (541) 500-0977	Shelby Bryne Matt-smith, LPC 900 E Main St, Medford, OR 97504-7136 Ph: (541) 500-0977

Reviews and Comments

Counselor in Medford, OR

Karen Burns, Counselor Medicare: Not Enrolled in Medicare Practice Location: 201 W 6th St, Medford, OR 97501 Phone: 541-200-2900 Fax: 541-200-2948
Mark Jeffrey Davis, QMHA Counselor Medicare: Not Enrolled in Medicare Practice Location: 1191 Hazel St, Medford, OR 97501 Phone: 541-476-2373
Jane Napoleon, Counselor Medicare: Not Enrolled in Medicare Practice Location: 601 N Grape St, Medford, OR 97501 Phone: 541-779-8564 Fax: 541-779-9409
Shoshanna Noelle Lane, Counselor Medicare: Not Enrolled in Medicare Practice Location: 300 W Main St, Medford, OR 97501 Phone: 541-772-1777
Michael David Holt, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1175 E Main St, Medford, OR 97504 Phone: 541-772-0127
Leslie Michelle Williams, Counselor Medicare: Not Enrolled in Medicare Practice Location: 503 Airport Rd Ste 101, Medford, OR 97504 Phone: 541-200-2900 Fax: 541-200-2948
Noah Drake, LPC Counselor Medicare: Medicare Enrolled Practice Location: 730 Biddle Rd, Medford, OR 97504 Phone: 541-494-3800

Shelby Bryne Matt-smith, LPC - Medicare Counselor in Medford, OR