Chris Smith, MDIV LMFT is a
Marriage & Family Therapist based in Port Washington, Wisconsin. Chris Smith is licensed to practice in Wisconsin (license number 68124) and his current practice location is
121 W Main St, Port Washington, Wisconsin. He can be reached at his office (for appointments etc.) via phone at
(262) 284-8200.
NPI number for Chris Smith is 1407022692 and his current mailing address is 121 W Main St, Port Washington, Wisconsin. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1407022692.
Healthcare Provider's Profile
| Full Name | Chris Smith |
|---|
| Gender | Male |
|---|
| Speciality | Marriage & Family Therapist |
|---|
| Location | 121 W Main St, Port Washington, Wisconsin |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
NPI Data:
- NPI Number: 1407022692
- Provider Enumeration Date: 05/07/2008
- Last Update Date: 05/07/2008
Medical Identifiers
Medical identifiers for Chris Smith such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1407022692 | NPI | - | NPPES |
| 40981600 | Medicaid | WI | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 106H00000X | Marriage & Family Therapist | 68124 (Wisconsin) | Primary |
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. Chris Smith is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
Chris Smith, MDIV LMFT 121 W Main St, Port Washington, WI 53074-0994 Ph: (262) 284-8200 | Chris Smith, MDIV LMFT 121 W Main St, Port Washington, WI 53074-0994 Ph: (262) 284-8200 |
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