Cassandra Smith, MSW, LICSW, LADC is a medicare enrolled "Social Worker - Clinical" provider in La Vista, Nebraska. Her current practice location is
12110 Port Grace Blvd Ste 101, La Vista, Nebraska. You can reach out to her office (for appointments etc.) via phone at
(402) 645-0038.
Cassandra Smith is licensed to practice in Nebraska (license number 2915) 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 1730811605.
Healthcare Provider's Profile
Full Name | Cassandra Smith |
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Gender | Female |
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Speciality | Social Worker - Clinical |
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Location | 12110 Port Grace Blvd Ste 101, La Vista, Nebraska |
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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: 1730811605
- Provider Enumeration Date: 06/28/2022
- Last Update Date: 08/15/2024
Medicare PECOS Information:
- PECOS PAC ID: 4486186608
- Enrollment ID: I20241014000988
Medical Identifiers
Medical identifiers for Cassandra Smith such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1730811605 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
1041C0700X | Social Worker - Clinical | 2915 (Nebraska) | Primary |
101YA0400X | Counselor - Addiction (substance Use Disorder) | 1596 (Nebraska) | Secondary |
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. Cassandra Smith allows following entities to bill medicare on her behalf.
Entity Name | Dymphna Holdings Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1306681861 PECOS PAC ID: 1254863442 Enrollment ID: O20241012000129 |
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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. Cassandra 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 |
Cassandra Smith, MSW, LICSW, LADC 12110 Port Grace Blvd Ste 101, La Vista, NE 68128-3190 Ph: (402) 645-0038 | Cassandra Smith, MSW, LICSW, LADC 12110 Port Grace Blvd Ste 101, La Vista, NE 68128-3190 Ph: (402) 645-0038 |
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