Dr Nicole Smith, PSYD - Medicare Psychologist in San Leandro, CA

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Dr Nicole Smith, PSYD is a medicare enrolled "Psychologist - Clinical" provider in San Leandro, California. She graduated from medical school in 2014 and has 12 years of diverse experience with area of expertise as Clinical Psychologist. Her current practice location is 777 Davis St, San Leandro, California. You can reach out to her office (for appointments etc.) via phone at (510) 626-2800.

Dr Nicole Smith is licensed to practice in California (license number 31458) 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 1689962706.

Contact Information

Dr Nicole Smith, PSYD
777 Davis St,
San Leandro, CA 94577-6923
(510) 626-2800
Not Available

Map and Direction




Healthcare Provider's Profile

Full NameDr Nicole Smith
GenderFemale
SpecialityClinical Psychologist
Experience12 Years
Location777 Davis St, San Leandro, California
Accepts Medicare AssignmentsMay be. She may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Dr Nicole Smith graduated from medical school in 2014
  NPI Data:
  • NPI Number: 1689962706
  • Provider Enumeration Date: 07/11/2011
  • Last Update Date: 06/19/2026
  Medicare PECOS Information:
  • PECOS PAC ID: 4183195712
  • Enrollment ID: I20260604003171

Medical Identifiers

Medical identifiers for Dr Nicole Smith such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1689962706NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
103TC0700XPsychologist - Clinical 31458 (California)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 Nicole Smith allows following entities to bill medicare on her behalf.
Entity NamePermanente Medical Group Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1073606299
PECOS PAC ID: 8921910225
Enrollment ID: O20031104000710

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 Nicole 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 AddressPractice Location Address
Dr Nicole Smith, PSYD
777 Davis St,
San Leandro, CA 94577-6923

Ph: (510) 626-2800		Dr Nicole Smith, PSYD
777 Davis St,
San Leandro, CA 94577-6923

Ph: (510) 626-2800

Reviews and Comments


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Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.