Susan Lynn Smith, MBA, RD is a medicare enrolled "Dietitian, Registered" provider in Kalaheo, Hawaii. She graduated from medical school in 1999 and has 27 years of diverse experience with area of expertise as Registered Dietitian Or Nutrition Professional. She is a member of the group practice Telemedicine Group Pc and 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
accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and 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 | Registered Dietitian Or Nutrition Professional |
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| Experience | 27 Years |
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| Location | 3651 Kakela Makai Drive, Kalaheo, Hawaii |
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| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Susan Lynn Smith graduated from medical school in 1999
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 |
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| 133V00000X | Dietitian, Registered | 722149 (* (Not Available)) | Primary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| Telemedicine Group Pc | 9830351824 | 95 |
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 |
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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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