Tara Smith, in Phoenix, AZ - Medicare Counselor Provider

Tara Smith, is a medicare enrolled "Counselor - Mental Health" provider in Phoenix, Arizona. Her current practice location is 5060 N 19th Ave # 207-7, Phoenix, Arizona. You can reach out to her office (for appointments etc.) via phone at (520) 730-5585.

Tara Smith is licensed to practice in Arizona (license number LPC-19031) 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 1780208777.

Contact Information

	Tara Smith,
	5060 N 19th Ave # 207-7, Phoenix, AZ 85015-3210
	(520) 730-5585
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Tara Smith
Gender	Female
Speciality	Counselor - Mental Health
Location	5060 N 19th Ave # 207-7, 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: 1780208777
Provider Enumeration Date: 06/04/2020
Last Update Date: 08/02/2021

Medicare PECOS Information:

PECOS PAC ID: 8628421732
Enrollment ID: I20240125000234

Medical Identifiers

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

Identifier	Type	State	Issuer
1780208777	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
101YM0800X	Counselor - Mental Health	LPC-19031 (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. Tara Smith allows following entities to bill medicare on her behalf.

Entity Name	Sondermind Provider Network Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1760854442 PECOS PAC ID: 9537572490 Enrollment ID: O20210225002747

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. Tara 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
Tara Smith, 1815 W Colter St Apt 27, Phoenix, AZ 85015-3044 Ph: (520) 730-5585	Tara Smith, 5060 N 19th Ave # 207-7, Phoenix, AZ 85015-3210 Ph: (520) 730-5585

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
Philip Lee Mcdonald, LMSW Counselor Medicare: Not Enrolled in Medicare Practice Location: 1648 S 16th St, Phoenix, AZ 85034 Phone: 714-235-1970
Melinda Chapin, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 3640 W Osborn Rd, Phoenix, AZ 85019 Phone: 602-269-5300 Fax: 602-269-5380
Beverly Seyler, M.S. Counselor Medicare: Not Enrolled in Medicare Practice Location: 4525 E Saint Anne Ave, Phoenix, AZ 85042 Phone: 602-431-6685
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

Tara Smith, - Medicare Counselor in Phoenix, AZ