Adam E Smith, in Johnson City, TN - Medicare Psychologist Provider

Adam E Smith, is a medicare enrolled "Psychologist - Clinical" provider in Johnson City, Tennessee. His current practice location is 408 N State Of Franklin Rd Ste 31c, Johnson City, Tennessee. You can reach out to his office (for appointments etc.) via phone at (423) 431-4946.

Adam E Smith is licensed to practice in Virginia (license number 0810005365) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1154781623.

Contact Information

	Adam E Smith,
	408 N State Of Franklin Rd Ste 31c, Johnson City, TN 37604-6088
	(423) 431-4946
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Adam E Smith
Gender	Male
Speciality	Psychologist - Clinical
Location	408 N State Of Franklin Rd Ste 31c, Johnson City, Tennessee
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1154781623
Provider Enumeration Date: 02/26/2016
Last Update Date: 11/28/2024

Medicare PECOS Information:

PECOS PAC ID: 2567733389
Enrollment ID: I20180301002438

Medical Identifiers

Medical identifiers for Adam E Smith such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1154781623	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
103TC0700X	Psychologist - Clinical	3546 (Tennessee)	Secondary
103TC0700X	Psychologist - Clinical	0810005365 (Virginia)	Primary
103T00000X	Psychologist	3546 (Tennessee)	Secondary
103T00000X	Psychologist	0810005365 (Virginia)	Secondary

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. Adam E Smith allows following entities to bill medicare on his behalf.

Entity Name	St. Charles Health Council Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1801013354 PECOS PAC ID: 0244124584 Enrollment ID: O20040209001103

Entity Name	Virginia Pac Services Pc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1073042800 PECOS PAC ID: 4587930672 Enrollment ID: O20171017002271

Entity Name	Nv Pacs 2 Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1427534809 PECOS PAC ID: 0941550578 Enrollment ID: O20220802002024

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. Adam E 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
Adam E Smith, 1021 W Oakland Ave Ste 310, Johnson City, TN 37604-2192 Ph: (423) 952-2111	Adam E Smith, 408 N State Of Franklin Rd Ste 31c, Johnson City, TN 37604-6088 Ph: (423) 431-4946

Reviews and Comments

Psychologist in Johnson City, TN

Dr. Angela Jane Shelton, PHD Psychologist Medicare: Not Enrolled in Medicare Practice Location: 106 Pinnacle Dr, Suite 106, Johnson City, TN 37615 Phone: 423-525-3771
Shelley Ann Silvers, PHD Psychologist Medicare: Not Enrolled in Medicare Practice Location: Corner Of Sydney And Lamont, James H Quillen Vamc, Johnson City, TN 37684 Phone: 423-926-1171
Ms. Deborah Lee Morrell, LPE Psychologist Medicare: Not Enrolled in Medicare Practice Location: 109 W Watauga Ave, Johnson City, TN 37604 Phone: 423-232-2600 Fax: 423-232-2646
Martha M. Kennon, PH.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 119 Boone Ridge Dr, Suite 201, Johnson City, TN 37615 Phone: 423-282-1480
Dr. Steven L Gray, PSY.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 119 Boone Ridge Dr, Suite 201, Johnson City, TN 37615 Phone: 423-282-1480 Fax: 423-928-1353
Dr. Bess Lewis, PSYD Psychologist Medicare: Accepting Medicare Assignments Practice Location: 1735 W State Franklin Road, Ste 5 #180, Johnson City, TN 37604 Phone: 423-631-5873

Adam E Smith, - Medicare Psychologist in Johnson City, TN