Susan Lynn Smith, MBA, RD is a medicare enrolled "Dietitian, Registered" provider in Kalaheo, Hawaii. Her current practice location is
3651 Kakela Makai Drive, Kalaheo, Hawaii. You can reach out to her office (for appointments etc.) via phone at
(808) 212-4657.
Susan Lynn Smith is licensed to practice in * (Not Available) (license number 722149) 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 1386942241.
Healthcare Provider's Profile
| Full Name | Susan Lynn Smith |
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| Gender | Female |
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| Speciality | Dietitian, Registered |
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| Location | 3651 Kakela Makai Drive, Kalaheo, Hawaii |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1386942241
- Provider Enumeration Date: 03/02/2011
- Last Update Date: 03/02/2011
Medicare PECOS Information:
- PECOS PAC ID: 2567786676
- Enrollment ID: I20250226000771
Medical Identifiers
Medical identifiers for Susan Lynn Smith such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1386942241 | NPI | - | NPPES |
| 722149 | Other | | CREDENTIALING AGENCY OF THE AMERICAN DIETETIC ASSOCIATION |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 133V00000X | Dietitian, Registered | 722149 (* (Not Available)) | 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. Susan Lynn Smith allows following entities to bill medicare on her behalf.
| Provider Name | Telemedicine Group Pc |
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| Provider Type | Part B Supplier - Clinic/group Practice |
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| Provider Identifiers | NPI Number: 1326338237
PECOS PAC ID: 9830351824
Enrollment ID: O20120509000349 |
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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. Susan Lynn 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 |
|---|
Susan Lynn Smith, MBA, RD
Po Box 411,
Kalaheo, HI 96741-0411
Ph: (808) 212-4657 | Susan Lynn Smith, MBA, RD
3651 Kakela Makai Drive,
Kalaheo, HI 96741-0411
Ph: (808) 212-4657 |
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