Dr Kaitlin Smith, PHD is a medicare enrolled "Clinical Neuropsychologist" provider in Tonawanda, New York. She graduated from medical school in 2019 and has 7 years of diverse experience with area of expertise as Clinical Psychologist. She is a member of the group practice State Of New York Comptrollers Office and her current practice location is
884 Brighton Rd, Tonawanda, New York. You can reach out to her office (for appointments etc.) via phone at
(716) 836-9460.
Dr Kaitlin Smith is licensed to practice in New York (license number 024325-01) and she also participates in the medicare program. She
may accept medicare assignments (which means she may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance) and her NPI Number is 1043688740.
Healthcare Provider's Profile
| Full Name | Dr Kaitlin Smith |
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| Gender | Female |
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| Speciality | Clinical Psychologist |
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| Experience | 7 Years |
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| Location | 884 Brighton Rd, Tonawanda, New York |
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| Accepts Medicare Assignments | May be. She may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Dr Kaitlin Smith graduated from medical school in 2019
NPI Data:
- NPI Number: 1043688740
- Provider Enumeration Date: 09/11/2015
- Last Update Date: 02/01/2023
Medicare PECOS Information:
- PECOS PAC ID: 7113399601
- Enrollment ID: I20230209001389
Medical Identifiers
Medical identifiers for Dr Kaitlin Smith such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1043688740 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 103TC0700X | Psychologist - Clinical | 024326 (New York) | Secondary |
| 103G00000X | Clinical Neuropsychologist | 024325-01 (New York) | Primary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| State Of New York Comptrollers Office | 0840101770 | 164 |
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 Kaitlin Smith allows following entities to bill medicare on her behalf.
| Entity Name | State Of New York Comptrollers Office |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1750469912
PECOS PAC ID: 0840101770
Enrollment ID: O20190313000800 |
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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 Kaitlin 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 |
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Dr Kaitlin Smith, PHD
884 Brighton Rd,
Tonawanda, NY 14150-8169
Ph: (716) 836-9460 | Dr Kaitlin Smith, PHD
884 Brighton Rd,
Tonawanda, NY 14150-8169
Ph: (716) 836-9460 |
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