Shannon Lynn Smith, OT in Renton, WA - Medicare Occupational Therapist Provider

Shannon Lynn Smith, OT is a medicare enrolled "Occupational Therapist" provider in Renton, Washington. Her current practice location is 400 S 43rd St, Renton, Washington. You can reach out to her office (for appointments etc.) via phone at (425) 690-3650.

Shannon Lynn Smith is licensed to practice in Washington (license number OT00002086) 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 1578799722.

Contact Information

	Shannon Lynn Smith, OT
	400 S 43rd St, Renton, WA 98055-5714
	(425) 690-3650
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Shannon Lynn Smith
Gender	Female
Speciality	Occupational Therapist
Location	400 S 43rd St, Renton, Washington
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1578799722
Provider Enumeration Date: 06/02/2009
Last Update Date: 11/29/2021

Medicare PECOS Information:

PECOS PAC ID: 0941467245
Enrollment ID: I20120127000782

Medical Identifiers

Medical identifiers for Shannon Lynn Smith such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1578799722	NPI	-	NPPES
0291600	Other	WA	DEPT. OF LABOR AND INDUSTRIES
1578799722	Medicaid	WA

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
225XH1200X	Occupational Therapist - Hand	OT00002086 (Washington)	Secondary
225X00000X	Occupational Therapist	OT00002086 (Washington)	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. Shannon Lynn Smith allows following entities to bill medicare on her behalf.

Provider Name	Multicare Health System
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1497766638 PECOS PAC ID: 7719899897 Enrollment ID: O20031105000760

Provider Name	Highline Physical Therapy Group
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1477797991 PECOS PAC ID: 8820172984 Enrollment ID: O20090810000344

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. Shannon 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
Shannon Lynn Smith, OT 3600 Lind Ave Sw, Suite 100 Attn Credentialing, Renton, WA 98057-4970 Ph: (425) 690-2715	Shannon Lynn Smith, OT 400 S 43rd St, Renton, WA 98055-5714 Ph: (425) 690-3650

Reviews and Comments

Occupational Therapist in Renton, WA

Koob Meng Moua, Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 400 S 43rd St, Renton, WA 98055 Phone: 425-251-5165 Fax: 425-656-4028
Kari Tanta, OT Occupational Therapist Medicare: Medicare Enrolled Practice Location: 3600 Lind Ave Sw, Ste 160, Renton, WA 98055 Phone: 425-656-4215 Fax: 425-656-5075
Jamie Marie Theuer, Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 400 S 43rd St, Renton, WA 98055 Phone: 425-251-5165
Hamdi Ahmed Hassan, Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 3600 Lind Ave Sw Ste 160, Renton, WA 98057 Phone: 425-588-2520
Ms. Annastassia Mina Woo Nelson, M.S., OT-R Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 2640 Benson Rd S, Renton, WA 98055 Phone: 425-336-3260 Fax: 425-277-7726
Jammie Leticia Rodriguez Sahin, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 300 Sw 7th St, Renton, WA 98057 Phone: 425-204-2300
Emma Jane Friedman, OT Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 400 S 43rd St, Renton, WA 98055 Phone: 425-690-3650

Shannon Lynn Smith, OT - Medicare Occupational Therapist in Renton, WA