Carrie Louise Smith, LCSW is a medicare enrolled "Counselor" provider in Modesto, California. Her current practice location is
4700 Enterprise Way, Modesto, California. You can reach out to her office (for appointments etc.) via phone at
(209) 550-6013.
Carrie Louise 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 1316160864.
Healthcare Provider's Profile
Full Name | Carrie Louise Smith |
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Gender | Female |
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Speciality | Counselor |
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Location | 4700 Enterprise Way, Modesto, California |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1316160864
- Provider Enumeration Date: 04/11/2007
- Last Update Date: 07/08/2024
Medicare PECOS Information:
- PECOS PAC ID: 5799218194
- Enrollment ID: I20241023003844
Medical Identifiers
Medical identifiers for Carrie Louise Smith such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1316160864 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
1041C0700X | Social Worker - Clinical | LCSW87808 (California) | Secondary |
101Y00000X | Counselor | (* (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. Carrie Louise Smith allows following entities to bill medicare on her behalf.
Entity Name | Permanente Medical Group Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1073606299 PECOS PAC ID: 8921910225 Enrollment ID: O20031104000710 |
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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. Carrie Louise 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 |
Carrie Louise Smith, LCSW 218 Delta Ave, Brentwood, CA 94513-1603 Ph: (209) 550-6013 | Carrie Louise Smith, LCSW 4700 Enterprise Way, Modesto, CA 95356 Ph: (209) 550-6013 |
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