Wanda Renee Smith, MA CCCSLP in Gastonia, NC - Medicare Speech-Language Pathologist Provider

Wanda Renee Smith, MA CCCSLP is a medicare enrolled "Speech-language Pathologist" provider in Gastonia, North Carolina. Her current practice location is 215 W 3rd Ave, Gastonia, North Carolina. You can reach out to her office (for appointments etc.) via phone at (704) 866-6160.

Wanda Renee Smith is licensed to practice in North Carolina (license number 13318) 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 1144392796.

Contact Information

	Wanda Renee Smith, MA CCCSLP
	215 W 3rd Ave, Gastonia, NC 28052-4058
	(704) 866-6160
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Wanda Renee Smith
Gender	Female
Speciality	Speech-language Pathologist
Location	215 W 3rd Ave, Gastonia, North Carolina
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1144392796
Provider Enumeration Date: 11/15/2006
Last Update Date: 04/16/2026

Medicare PECOS Information:

PECOS PAC ID: 3678016730
Enrollment ID: I20240617003276

Medical Identifiers

Medical identifiers for Wanda Renee Smith such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1144392796	NPI	-	NPPES
840702411A	Medicaid	GA

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
235Z00000X	Speech-language Pathologist	SLP003773 (Georgia)	Secondary
235Z00000X	Speech-language Pathologist	13318 (North Carolina)	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. Wanda Renee Smith allows following entities to bill medicare on her behalf.

Provider Name	Expressable Speech-language Pathology Pc
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1649875857 PECOS PAC ID: 4688074511 Enrollment ID: O20220315000896

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. Wanda Renee 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
Wanda Renee Smith, MA CCCSLP 1705 Country Garden Dr, Shelby, NC 28150-6162 Ph: (770) 330-7904	Wanda Renee Smith, MA CCCSLP 215 W 3rd Ave, Gastonia, NC 28052-4058 Ph: (704) 866-6160

Reviews and Comments

Speech-Language Pathologist in Gastonia, NC

Mrs. Martha Peacock Ferguson, M.S.,CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 1618 Fairfield Dr, Gastonia, NC 28054 Phone: 704-906-8817
Lauren Jane Cownie, SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 2675 Court Dr, Gastonia, NC 28054 Phone: 704-824-4999
Celeste Thompson, MA, CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 1007 Hillside Dr, Gastonia, NC 28052 Phone: 704-691-4689
Joshua Michael Mintz, MS, CCC-SLP, CDP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 1010 E Garrison Blvd, Gastonia, NC 28054 Phone: 704-868-8551
Raeana Macon, Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 215 W 3rd Ave, Gastonia, NC 28052 Phone: 704-661-1513
Nicole Rich, Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 215 W 3rd Ave, Gastonia, NC 28052 Phone: 704-866-6160
Morgan Katherine Maldonado, CF-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 2575 Pembroke Rd, Gastonia, NC 28054 Phone: 980-320-8275 Fax: 704-973-7862

Wanda Renee Smith, MA CCCSLP - Medicare Speech-Language Pathologist in Gastonia, NC