Dr Michael David Smith, PSYD in La Crosse, WI - Medicare Psychologist Provider

Dr Michael David Smith, PSYD is a medicare enrolled "Psychologist" provider in La Crosse, Wisconsin. His current practice location is 1836 South Ave, La Crosse, Wisconsin. You can reach out to his office (for appointments etc.) via phone at (608) 782-7300.

Dr Michael David Smith is licensed to practice in Wisconsin (license number 3168) 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 1003167909.

Contact Information

	Dr Michael David Smith, PSYD
	1836 South Ave, La Crosse, WI 54601-5429
	(608) 782-7300
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Dr Michael David Smith
Gender	Male
Speciality	Psychologist
Location	1836 South Ave, La Crosse, Wisconsin
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1003167909
Provider Enumeration Date: 10/02/2012
Last Update Date: 07/09/2019

Medicare PECOS Information:

PECOS PAC ID: 8022343953
Enrollment ID: I20190715000728

Medical Identifiers

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

Identifier	Type	State	Issuer
1003167909	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
103TC0700X	Psychologist - Clinical	PS015414 (Pennsylvania)	Secondary
103T00000X	Psychologist	3168 (Wisconsin)	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 Michael David Smith allows following entities to bill medicare on his behalf.

Entity Name	Gundersen Lutheran Medical Center Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1225873458 PECOS PAC ID: 2163331414 Enrollment ID: O20130619000254

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 Michael David 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 Michael David Smith, PSYD 1836 South Ave, La Crosse, WI 54601-5429 Ph: (608) 782-7300	Dr Michael David Smith, PSYD 1836 South Ave, La Crosse, WI 54601-5429 Ph: (608) 782-7300

Reviews and Comments

Psychologist in La Crosse, WI

Carol Goulet, PH.D. Psychologist Medicare: Accepting Medicare Assignments Practice Location: 800 West Ave S, La Crosse, WI 54601 Phone: 507-284-1373
Michelle Mcelligott, Psychologist Medicare: Not Enrolled in Medicare Practice Location: 1836 South Ave, La Crosse, WI 54601 Phone: 608-782-7300
Dr. Meganruth Christine Schumacher-martinez, LP Psychologist Medicare: Not Enrolled in Medicare Practice Location: 2920 East Ave S Ste 100, La Crosse, WI 54601 Phone: 608-218-4234
Kory Alexander Holzer, PSYD Psychologist Medicare: Not Enrolled in Medicare Practice Location: 4000 State Road 16, La Crosse, WI 54601 Phone: 608-304-8560
Maria C Graf, PHD Psychologist Medicare: Accepting Medicare Assignments Practice Location: 1836 South Ave, La Crosse, WI 54601 Phone: 608-782-7300
Kevin M Boland, PHD Psychologist Medicare: Not Enrolled in Medicare Practice Location: 1836 South Ave, La Crosse, WI 54601 Phone: 608-782-7300 Fax: 608-775-4467

Dr Michael David Smith, PSYD - Medicare Psychologist in La Crosse, WI