Holly Lynn Smith, PMHNP-BC is a medicare enrolled "Nurse Practitioner - Psychiatric/mental Health" physician in Buffalo, New York. Her current practice location is
400 Forest Ave, Buffalo, New York. You can reach out to her office (for appointments etc.) via phone at
(716) 816-2445.
Holly Lynn Smith is licensed to practice in New York (license number 403592) 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 1912674292.
Physician's Profile
| Full Name | Holly Lynn Smith |
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| Gender | Female |
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| Speciality | Nurse Practitioner - Psychiatric/mental Health |
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| Location | 400 Forest Ave, Buffalo, New York |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1912674292
- Provider Enumeration Date: 08/25/2021
- Last Update Date: 07/27/2022
Medicare PECOS Information:
- PECOS PAC ID: 5496153413
- Enrollment ID: I20211006000135
Medical Identifiers
Medical identifiers for Holly Lynn Smith such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1912674292 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 2084P0800X | Psychiatry & Neurology - Psychiatry | 403592 (New York) | Secondary |
| 363LP0808X | Nurse Practitioner - Psychiatric/mental Health | 403592 (New York) | 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. Holly Lynn Smith allows following entities to bill medicare on her behalf.
| Entity Name | Che Senior Psychological Services, Pc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1023078219 PECOS PAC ID: 8022905314 Enrollment ID: O20040322001429 |
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| Entity Name | Knapp Street Psychiatry, Pc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1043248776 PECOS PAC ID: 1153212998 Enrollment ID: O20040322001760 |
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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. Holly 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 |
Holly Lynn Smith, PMHNP-BC 163 Holly St, Buffalo, NY 14206-3517 Ph: (716) 512-0241 | Holly Lynn Smith, PMHNP-BC 400 Forest Ave, Buffalo, NY 14213-1207 Ph: (716) 816-2445 |
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