Dr Mardi Michele Smith, PHD in San Diego, CA - Medicare Psychologist Provider

Dr Mardi Michele Smith, PHD is a medicare enrolled "Psychologist" provider in San Diego, California. Her current practice location is 4546 Kensington Dr, San Diego, California. You can reach out to her office (for appointments etc.) via phone at (619) 994-8627.

Dr Mardi Michele Smith is licensed to practice in Tennessee (license number 2990) 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 1154601862.

Contact Information

	Dr Mardi Michele Smith, PHD
	4546 Kensington Dr, San Diego, CA 92116-3834
	(619) 994-8627
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Dr Mardi Michele Smith
Gender	Female
Speciality	Psychologist
Location	4546 Kensington Dr, San Diego, California
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1154601862
Provider Enumeration Date: 08/25/2011
Last Update Date: 04/04/2024

Medicare PECOS Information:

PECOS PAC ID: 8921244732
Enrollment ID: I20130424000499

Medical Identifiers

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

Identifier	Type	State	Issuer
1154601862	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
103TC1900X	Psychologist - Counseling	28408 (California)	Secondary
103T00000X	Psychologist	2990 (Tennessee)	Primary

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 Mardi Michele 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 Mardi Michele Smith, PHD 543 Javelin Cv, Cordova, TN 38018-7674 Ph: () -	Dr Mardi Michele Smith, PHD 4546 Kensington Dr, San Diego, CA 92116-3834 Ph: (619) 994-8627

Reviews and Comments

Psychologist in San Diego, CA

Dr. Douglas Brackmann, PH.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 3101 4th Ave, San Diego, CA 92103 Phone: 858-735-1667 Fax: 619-542-0332
Barton Palmer, PHD Psychologist Medicare: Not Enrolled in Medicare Practice Location: Vasdhs Division Of Geriatric Psychiatry 116a, 3350 La Jolla Village Drive, San Diego, CA 92161 Phone: 858-552-8585
Dr. Lina Kogan-sbarbaro, PHD Psychologist Medicare: Medicare Enrolled Practice Location: 1050 University Ave Ste E107, San Diego, CA 92103 Phone: 858-504-7743 Fax: 858-216-1928
Dr. Raymond Peng, PSYD Psychologist Medicare: Medicare Enrolled Practice Location: 6540 Lusk Blvd Ste C159, San Diego, CA 92121 Phone: 858-888-9683
Meghan Hammel, PHD Psychologist Medicare: Not Enrolled in Medicare Practice Location: 200 West Arbor Drive, San Diego, CA 92103 Phone: 619-543-2827
Dr. Rodger Stacy Questin, PHD Psychologist Medicare: Medicare Enrolled Practice Location: 3702 4th Ave, San Diego, CA 92103 Phone: 760-607-7257
Dr. Jessica Lynette Montoya, PHD Psychologist Medicare: Accepting Medicare Assignments Practice Location: 200 W Arbor Dr, San Diego, CA 92103 Phone: 800-926-8273 Fax: 888-539-8781

Dr Mardi Michele Smith, PHD - Medicare Psychologist in San Diego, CA