Dr Frederick Smith, PSYD in Woodridge, IL - Medicare Psychologist Provider

Dr Frederick Smith, PSYD is a medicare enrolled "Psychologist - Clinical" provider in Woodridge, Illinois. His current practice location is 7425 Janes Ave Ste 205, Woodridge, Illinois. You can reach out to his office (for appointments etc.) via phone at (331) 481-5547.

Dr Frederick Smith is licensed to practice in Illinois (license number 071010014) 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 1568971091.

Contact Information

	Dr Frederick Smith, PSYD
	7425 Janes Ave Ste 205, Woodridge, IL 60517-2323
	(331) 481-5547
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Dr Frederick Smith
Gender	Male
Speciality	Psychologist - Clinical
Location	7425 Janes Ave Ste 205, Woodridge, Illinois
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1568971091
Provider Enumeration Date: 09/27/2017
Last Update Date: 01/31/2023

Medicare PECOS Information:

PECOS PAC ID: 7517334469
Enrollment ID: I20221104001910

Medical Identifiers

Medical identifiers for Dr Frederick Smith such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1568971091	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
103TC0700X	Psychologist - Clinical	PSY004131 (Georgia)	Secondary
103TC0700X	Psychologist - Clinical	071010014 (Illinois)	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. Dr Frederick Smith allows following entities to bill medicare on his behalf.

Entity Name	Thriveworks Clinical - Illinois
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1164190633 PECOS PAC ID: 6800263823 Enrollment ID: O20221104000575

Entity Name	Edgewood Clinical Services P.c.
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1295914646 PECOS PAC ID: 3971963901 Enrollment ID: O20230721001228

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. Dr Frederick 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
Dr Frederick Smith, PSYD 7425 Janes Ave Ste 205, Woodridge, IL 60517-2323 Ph: (331) 481-5547	Dr Frederick Smith, PSYD 7425 Janes Ave Ste 205, Woodridge, IL 60517-2323 Ph: (331) 481-5547

Reviews and Comments

Psychologist in Woodridge, IL

Geetha Munisamy, PH.D. Psychologist Medicare: Accepting Medicare Assignments Practice Location: 1420 Tower Hill Dr, Woodridge, IL 60517 Phone: 312-961-1557
Dr. James S Riedel, ED.D. Psychologist Medicare: Accepting Medicare Assignments Practice Location: 7425 Janes Ave, Suite 200, Woodridge, IL 60517 Phone: 630-852-8451 Fax: 630-852-0554
Dr. Jennifer E Manfre, PSY.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 6440 Main St Ste 200, Woodridge, IL 60517 Phone: 630-968-0792 Fax: 630-477-0201

Dr Frederick Smith, PSYD - Medicare Psychologist in Woodridge, IL