Mr Brandon M Smith, RN, MSN, APRN-BC is a medicare enrolled "Clinical Nurse Specialist - Psychiatric/mental Health, Adult" in Avon, Colorado. He graduated from nursing school in 2006 and has 18 years of diverse experience with area of expertise as Nurse Practitioner. He is a member of the group practice Eagle Valley Mental Health and his current practice location is
50 Buck Creek Rd Ste 200, Avon, Colorado. You can reach out to his office (for appointments etc.) via phone at
(970) 926-6340.
Mr Brandon M Smith is licensed to practice in Colorado (license number 0996112) and he also participates in the medicare program. He
may accept medicare assignments (which means he may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance) and his NPI Number is 1912108648.
Provider's Profile
| Full Name | Mr Brandon M Smith |
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| Gender | Male |
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| Speciality | Nurse Practitioner |
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| Experience | 18 Years |
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| Location | 50 Buck Creek Rd Ste 200, Avon, Colorado |
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| Accepts Medicare Assignments | May be. He may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Mr Brandon M Smith graduated from nursing school in 2006
NPI Data:
- NPI Number: 1912108648
- Provider Enumeration Date: 05/30/2007
- Last Update Date: 05/13/2022
Medicare PECOS Information:
- PECOS PAC ID: 8628120938
- Enrollment ID: I20210428000581
Medical Identifiers
Medical identifiers for Mr Brandon M Smith such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1912108648 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 364SP0809X | Clinical Nurse Specialist - Psychiatric/mental Health, Adult | R1612293 (Minnesota) | Secondary |
| 364SP0809X | Clinical Nurse Specialist - Psychiatric/mental Health, Adult | R161229-3 (Minnesota) | Secondary |
| 364SP0809X | Clinical Nurse Specialist - Psychiatric/mental Health, Adult | 0996112 (Colorado) | Primary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| Eagle Valley Mental Health | 6204297450 | 18 |
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. Mr Brandon M Smith allows following entities to bill medicare on his behalf.
| Entity Name | Colorado Mountain Medical, Llc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1730747445
PECOS PAC ID: 5496087181
Enrollment ID: O20191030000595 |
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| Entity Name | Eagle Valley Mental Health |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1972267292
PECOS PAC ID: 6204297450
Enrollment ID: O20230803002737 |
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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. Mr Brandon M 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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Mr Brandon M Smith, RN, MSN, APRN-BC
Po Box 4330,
Avon, CO 81620-4330
Ph: (970) 926-6340 | Mr Brandon M Smith, RN, MSN, APRN-BC
50 Buck Creek Rd Ste 200,
Avon, CO 81620-5444
Ph: (970) 926-6340 |
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