Stacy Smith, LPC in Breckenridge, CO - Medicare Counselor Provider

Stacy Smith, LPC is a medicare enrolled "Counselor - Mental Health" provider in Breckenridge, Colorado. Her current practice location is 100 South Ridge Road, Suite 201 C, Breckenridge, Colorado. You can reach out to her office (for appointments etc.) via phone at (970) 389-6172.

Stacy Smith is licensed to practice in Colorado (license number 4227) 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 1871898858.

Contact Information

	Stacy Smith, LPC
	100 South Ridge Road, Suite 201 C, Breckenridge, CO 80424
	(970) 389-6172
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Stacy Smith
Gender	Female
Speciality	Counselor - Mental Health
Location	100 South Ridge Road, Breckenridge, Colorado
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1871898858
Provider Enumeration Date: 01/21/2011
Last Update Date: 01/21/2011

Medicare PECOS Information:

PECOS PAC ID: 5193169530
Enrollment ID: I20240214000456

Medical Identifiers

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

Identifier	Type	State	Issuer
1871898858	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
101YM0800X	Counselor - Mental Health	4227 (Colorado)	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. Stacy Smith allows following entities to bill medicare on her behalf.

Entity Name	Eagle Valley Mental Health
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1972267292 PECOS PAC ID: 6204297450 Enrollment ID: O20230803002737

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. Stacy 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
Stacy Smith, LPC Po Box 6423, Breckenridge, CO 80424-6423 Ph: (970) 389-6172	Stacy Smith, LPC 100 South Ridge Road, Suite 201 C, Breckenridge, CO 80424 Ph: (970) 389-6172

Reviews and Comments

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Stacy Smith, LPC - Medicare Counselor in Breckenridge, CO