Justine Nicole Smith, LMSW is a medicare enrolled "Social Worker - Clinical" provider in Sumner, Michigan. Her current practice location is
4061 S West County Line Rd, Sumner, Michigan. You can reach out to her office (for appointments etc.) via phone at
(616) 920-9025.
Justine Nicole Smith is licensed to practice in Michigan (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 1659956167.
Healthcare Provider's Profile
Full Name | Justine Nicole Smith |
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Gender | Female |
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Speciality | Social Worker - Clinical |
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Location | 4061 S West County Line Rd, Sumner, Michigan |
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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: 1659956167
- Provider Enumeration Date: 03/16/2021
- Last Update Date: 10/03/2023
Medicare PECOS Information:
- PECOS PAC ID: 7618322561
- Enrollment ID: I20231012000485
Medical Identifiers
Medical identifiers for Justine Nicole Smith such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1659956167 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
1041C0700X | Social Worker - Clinical | (Michigan) | 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. Justine Nicole Smith allows following entities to bill medicare on her behalf.
Entity Name | Therapy Today Counseling And Consulting Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1629322003 PECOS PAC ID: 2567607062 Enrollment ID: O20130405000017 |
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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. Justine Nicole 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 |
Justine Nicole Smith, LMSW 4061 S West County Line Rd, Sumner, MI 48889-9617 Ph: (616) 920-9025 | Justine Nicole Smith, LMSW 4061 S West County Line Rd, Sumner, MI 48889-9617 Ph: (616) 920-9025 |
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