Dr Jameel Montgomery Smith, PHD, LP NCSP in Detroit, MI

Dr Jameel Montgomery Smith, PHD, LP NCSP is a medicare enrolled "Psychologist - Clinical" provider in Detroit, Michigan. Her current practice location is 400 Mack Ave Ste 1, Detroit, Michigan. You can reach out to her office (for appointments etc.) via phone at (313) 448-9600.

Dr Jameel Montgomery Smith is licensed to practice in Michigan (license number 6301019161) 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 1346521135.

Contact Information

	Dr Jameel Montgomery Smith, PHD, LP NCSP
	400 Mack Ave Ste 1, Detroit, MI 48201-2136
	(313) 448-9600
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Dr Jameel Montgomery Smith
Gender	Female
Speciality	Psychologist - Clinical
Location	400 Mack Ave Ste 1, Detroit, Michigan
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1346521135
Provider Enumeration Date: 09/07/2011
Last Update Date: 03/05/2024

Medicare PECOS Information:

PECOS PAC ID: 7113310475
Enrollment ID: I20220209000519

Medical Identifiers

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

Identifier	Type	State	Issuer
1346521135	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
103TC0700X	Psychologist - Clinical	6301019161 (Michigan)	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 Jameel Montgomery Smith allows following entities to bill medicare on her behalf.

Entity Name	Henry Ford Health System
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1114001468 PECOS PAC ID: 0547178311 Enrollment ID: O20031111000517

Entity Name	Wayne Pediatrics, Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1760015622 PECOS PAC ID: 4486062122 Enrollment ID: O20210420000200

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 Jameel Montgomery 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 Jameel Montgomery Smith, PHD, LP NCSP 2799 W Grand Blvd, Detroit, MI 48202-2608 Ph: (800) 653-6568	Dr Jameel Montgomery Smith, PHD, LP NCSP 400 Mack Ave Ste 1, Detroit, MI 48201-2136 Ph: (313) 448-9600

Reviews and Comments

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Dr Jameel Montgomery Smith, PHD, LP NCSP - Medicare Psychologist in Detroit, MI