Carley Jordan Smith, in West Tisbury, MA - Medicare Physical Therapist Provider

Carley Jordan Smith, is a medicare enrolled "Physical Therapist" provider in West Tisbury, Massachusetts. Her current practice location is 489 State Rd, West Tisbury, Massachusetts. You can reach out to her office (for appointments etc.) via phone at (508) 693-3800.

Carley Jordan Smith is licensed to practice in Virginia (license number 2305216404) 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 1548001787.

Contact Information

	Carley Jordan Smith,
	489 State Rd, West Tisbury, MA 02575-5497
	(508) 693-3800
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Carley Jordan Smith
Gender	Female
Speciality	Physical Therapist
Location	489 State Rd, West Tisbury, Massachusetts
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1548001787
Provider Enumeration Date: 06/03/2024
Last Update Date: 06/03/2024

Medicare PECOS Information:

PECOS PAC ID: 3274077011
Enrollment ID: I20240703001104

Medical Identifiers

Medical identifiers for Carley Jordan Smith such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1548001787	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
225100000X	Physical Therapist	2305216404 (Virginia)	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. Carley Jordan Smith allows following entities to bill medicare on her behalf.

Provider Name	Vineyard Complementary Medicine Inc
Provider Type	Part B Supplier - Physical/occupational Therapy Group In Private Practice
Provider Identifiers	NPI Number: 1053490896 PECOS PAC ID: 2860435005 Enrollment ID: O20050608000387

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. Carley Jordan 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
Carley Jordan Smith, 429 Woodards Ford Rd, Chesapeake, VA 23322-4308 Ph: (757) 559-3690	Carley Jordan Smith, 489 State Rd, West Tisbury, MA 02575-5497 Ph: (508) 693-3800

Reviews and Comments

Physical Therapist in West Tisbury, MA

Joseph Corbo, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 489 State Rd, West Tisbury, MA 02575 Phone: 508-693-3800
Susan White, P.T. Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 12 Cournoyer Road, West Tisbury, MA 02575 Phone: 508-693-5949 Fax: 508-693-5942
Jessica E Oconnor, P.T. Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 35 Brushbroom Lane, West Tisbury, MA 02575 Phone: 508-221-0583
Mr. Laurence Paul Greenberg, PT, MS, M.ED. Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 170 Pond Rd, West Tisbury, MA 02575 Phone: 508-696-9171 Fax: 508-696-0770

Carley Jordan Smith, - Medicare Physical Therapist in West Tisbury, MA