Mark William Smith, LICSW in Minneapolis, MN - Medicare Clinical Social Worker Provider

Mark William Smith, LICSW is a medicare enrolled "Social Worker - Clinical" provider in Minneapolis, Minnesota. He graduated from medical school in 1995 and has 30 years of diverse experience with area of expertise as Clinical Social Worker. His current practice location is 5939 Portland Ave, Minneapolis, Minnesota. You can reach out to his office (for appointments etc.) via phone at (612) 866-6100.

Mark William Smith is licensed to practice in Minnesota (license number 11372) and he also participates in the medicare program. He may accept medicare assignments (which means he may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance) and his NPI Number is 1508988908.

Contact Information

	Mark William Smith, LICSW
	5939 Portland Ave, Minneapolis, MN 55417-3127
	(612) 866-6100
	(612) 866-9379

Map and Direction

Healthcare Provider's Profile

Full Name	Mark William Smith
Gender	Male
Speciality	Clinical Social Worker
Experience	30 Years
Location	5939 Portland Ave, Minneapolis, Minnesota
Accepts Medicare Assignments	May be. He may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance.

Medical Education and Training:

Mark William Smith graduated from medical school in 1995

NPI Data:

NPI Number: 1508988908
Provider Enumeration Date: 04/04/2007
Last Update Date: 07/09/2007

Medicare PECOS Information:

PECOS PAC ID: 5294791109
Enrollment ID: I20041203000080

Medical Identifiers

Medical identifiers for Mark William Smith such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1508988908	NPI	-	NPPES
102R8SM	Other	MN	BLUE CROSS BLUE SHIELD

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
1041C0700X	Social Worker - Clinical	11372 (Minnesota)	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. Mark William Smith allows following entities to bill medicare on his behalf.

Entity Name	Crosstown Counseling Plc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1356453211 PECOS PAC ID: 7113983016 Enrollment ID: O20041202000553

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. Mark William 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
Mark William Smith, LICSW 5939 Portland Ave, Minneapolis, MN 55417-3127 Ph: (612) 866-6100	Mark William Smith, LICSW 5939 Portland Ave, Minneapolis, MN 55417-3127 Ph: (612) 866-6100

Reviews and Comments

Social Worker in Minneapolis, MN

Mr. Tim D Sullivan, MSW, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 229 Ridgewood Ave, Apartment 112, Minneapolis, MN 55403 Phone: 612-600-7169
Catherine Elaine Schacher, LICSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 2525 Chicago Ave, Minneapolis, MN 55404 Phone: 612-813-6138
Don Coleman, Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 2430 Nicollet Ave, Minneapolis, MN 55404 Phone: 612-871-1454 Fax: 612-871-1505
Seare Shibeshi, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 2327 E Franklin Ave Ste 3, Minneapolis, MN 55406 Phone: 612-332-9124
Alex Jacob Hoyt, MSW, LICSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 4027 County Road 25, Minneapolis, MN 55416 Phone: 612-925-6033 Fax: 612-925-8496
Elissa J Allen, LGSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 2925 Chicago Ave, Minneapolis, MN 55407 Phone: 866-603-0016
Sydney Bartz, MSW, LICSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1100 Glenwood Ave, Minneapolis, MN 55405 Phone: 612-871-1454

Mark William Smith, LICSW - Medicare Clinical Social Worker in Minneapolis, MN