Kelly Jean Smith, in Redding, CA - Medicare Clinical Psychologist Provider

Kelly Jean Smith, is a medicare enrolled "Psychologist" provider in Redding, California. She graduated from medical school in 2008 and has 16 years of diverse experience with area of expertise as Clinical Psychologist. She is a member of the group practice Creekside Counseling Center Inc and her current practice location is 2640 Breslauer Way, Redding, California. You can reach out to her office (for appointments etc.) via phone at (530) 225-5200.

Kelly Jean Smith is licensed to practice in * (Not Available) (license number ) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1700192481.

Contact Information

	Kelly Jean Smith,
	2640 Breslauer Way, Redding, CA 96001-4246
	(530) 225-5200
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Kelly Jean Smith
Gender	Female
Speciality	Clinical Psychologist
Experience	16 Years
Location	2640 Breslauer Way, Redding, California
Accepts Medicare Assignments	Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Kelly Jean Smith graduated from medical school in 2008

NPI Data:

NPI Number: 1700192481
Provider Enumeration Date: 08/19/2010
Last Update Date: 09/12/2018

Medicare PECOS Information:

PECOS PAC ID: 1153673496
Enrollment ID: I20181015001237

Medical Identifiers

Medical identifiers for Kelly Jean Smith such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1700192481	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
103T00000X	Psychologist	(* (Not Available))	Primary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Creekside Counseling Center Inc	1557683315	17

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. Kelly Jean Smith allows following entities to bill medicare on her behalf.

Entity Name	Creekside Counseling Center Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1194750547 PECOS PAC ID: 1557683315 Enrollment ID: O20141204002317

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. Kelly Jean 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
Kelly Jean Smith, 1170 Industrial St, Redding, CA 96002-0734 Ph: (530) 722-9957	Kelly Jean Smith, 2640 Breslauer Way, Redding, CA 96001-4246 Ph: (530) 225-5200

Reviews and Comments

Psychologist in Redding, CA

Douglas Norman Porter, LMFT Psychologist Medicare: Not Enrolled in Medicare Practice Location: 748 North Market St., Redding, CA 96003 Phone: 530-244-7408 Fax: 530-244-7408
Dr. Frederick Adams Stich Iii, PH.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 448 Redcliff Dr Ste 13, Redding, CA 96002 Phone: 530-222-8687 Fax: 530-222-1710
Dr. Kathryn Lee Rehberg, PSY.D. Psychologist Medicare: Accepting Medicare Assignments Practice Location: 1650 Oregon St Ste 209, Redding, CA 96001 Phone: 530-435-6092 Fax: 530-215-1444
Dr. Jamie Serrano, PH.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 351 Hartnell Ave, Redding, CA 96002 Phone: 530-226-7675
Dr. Jessi Carolina Gandolfi, PH.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 351 Hartnell Ave, Redding, CA 96002 Phone: 530-226-7684
Dr. Clarissa Zammitt, PH.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 1133 Hartnell Ave, Redding, CA 96002 Phone: 530-221-8806 Fax: 530-221-8807
Dr. Brandy Liebscher, PSYD Psychologist Medicare: Not Enrolled in Medicare Practice Location: 1714 West St, 2nd Fl, Redding, CA 96001 Phone: 530-365-4369 Fax: 530-365-4617

Kelly Jean Smith, - Medicare Psychologist in Redding, CA