Rylie Evan Smith, is a medicare enrolled "Student In An Organized Health Care Education/training Program" provider in Oklahoma City, Oklahoma. Her current practice location is
1400 E Memorial Rd, Oklahoma City, Oklahoma. You can reach out to her office (for appointments etc.) via phone at
(405) 875-0040.
Rylie Evan Smith is licensed to practice in * (Not Available) (license number ) 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 1700575487.
Healthcare Provider's Profile
| Full Name | Rylie Evan Smith |
|---|
| Gender | Female |
|---|
| Speciality | Student In An Organized Health Care Education/training Program |
|---|
| Location | 1400 E Memorial Rd, Oklahoma City, Oklahoma |
|---|
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
|---|
NPI Data:
- NPI Number: 1700575487
- Provider Enumeration Date: 05/08/2023
- Last Update Date: 06/09/2024
Medicare PECOS Information:
- PECOS PAC ID: 0446784011
- Enrollment ID: I20241106000465
Medical Identifiers
Medical identifiers for Rylie Evan Smith such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1700575487 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 235Z00000X | Speech-language Pathologist | 6155 (Oklahoma) | Secondary |
| 390200000X | Student In An Organized Health Care Education/training Program | (* (Not Available)) | 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. Rylie Evan Smith allows following entities to bill medicare on her behalf.
| Provider Name | Powerback Rehabilitation Llc |
|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
|---|
| Provider Identifiers | NPI Number: 1104320233
PECOS PAC ID: 2365359932
Enrollment ID: O20180702001261 |
|---|
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. Rylie Evan 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 |
|---|
Rylie Evan Smith,
900 Ne 122nd St Apt 2310,
Oklahoma City, OK 73114-9226
Ph: (580) 306-1294 | Rylie Evan Smith,
1400 E Memorial Rd,
Oklahoma City, OK 73131-1240
Ph: (405) 875-0040 |
Reviews and Comments