Dr Sally Jean Smith, MD in Ventura, CA

Dr Sally Jean Smith, MD is a medicare enrolled "Pediatrics" physician in Ventura, California. Her current practice location is 2755 Loma Vista Rd, Ventura, California. You can reach out to her office (for appointments etc.) via phone at (805) 477-9922.

Dr Sally Jean Smith is licensed to practice in California (license number C51395) 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 1104971746.

Contact Information

	Dr Sally Jean Smith, MD
	2755 Loma Vista Rd, Ventura, CA 93003-1544
	(805) 477-9922
	(805) 477-9937

Map and Direction

Physician's Profile

Full Name	Dr Sally Jean Smith
Gender	Female
Speciality	Pediatrics
Location	2755 Loma Vista Rd, Ventura, California
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1104971746
Provider Enumeration Date: 01/24/2007
Last Update Date: 07/24/2023

Medicare PECOS Information:

PECOS PAC ID: 9234196783
Enrollment ID: I20230816003632

Medical Identifiers

Medical identifiers for Dr Sally Jean Smith such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1104971746	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
208000000X	Pediatrics	C51395 (California)	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. Dr Sally Jean Smith allows following entities to bill medicare on her behalf.

Entity Name	Community Memorial Health System
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1215903018 PECOS PAC ID: 9537155676 Enrollment ID: O20040422001668

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. Dr Sally Jean 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
Dr Sally Jean Smith, MD 2755 Loma Vista Rd, Ventura, CA 93003-1544 Ph: (805) 477-9922	Dr Sally Jean Smith, MD 2755 Loma Vista Rd, Ventura, CA 93003-1544 Ph: (805) 477-9922

Reviews and Comments

Pediatrics Doctors in Ventura, CA

Traci A Williams, M.D. Pediatrics Medicare: Accepting Medicare Assignments Practice Location: 2953 Telegraph Rd, Ventura, CA 93003 Phone: 805-652-5252 Fax: 805-652-0097
Dr. Catherine M Hurley, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 888 S Hill Rd, Ventura, CA 93003 Phone: 805-477-6300 Fax: 805-477-6300
Dr. Valerie Sussman, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 2660 E Main St, 204, Ventura, CA 93003 Phone: 805-643-7500 Fax: 805-643-7510
Stephanie Grace West, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 888 S Hill Rd, Ventura, CA 93003 Phone: 833-574-2273
Dr. Danielle Shaw, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 120 N Ashwood Ave, Ventura, CA 93003 Phone: 805-805-6526
Dr. Robert Eldon Ryan Iii, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 5415 Topa Topa Dr, Ventura, CA 93003 Phone: 805-320-5120

Dr Sally Jean Smith, MD - Medicare Pediatrics in Ventura, CA