Mrs Carla Rae Smith, is a medicare enrolled "Social Worker - Clinical" provider in Pender, Nebraska. Her current practice location is
100 Hospital Dr, Pender, Nebraska. You can reach out to her office (for appointments etc.) via phone at
(402) 385-3083.
Mrs Carla Rae Smith is licensed to practice in Nebraska (license number 1660) 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 1730235755.
Healthcare Provider's Profile
Full Name | Mrs Carla Rae Smith |
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Gender | Female |
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Speciality | Social Worker - Clinical |
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Location | 100 Hospital Dr, Pender, 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: 1730235755
- Provider Enumeration Date: 01/25/2007
- Last Update Date: 05/05/2020
Medicare PECOS Information:
- PECOS PAC ID: 2466732599
- Enrollment ID: I20161207002297
Medical Identifiers
Medical identifiers for Mrs Carla Rae Smith such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1730235755 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
1041C0700X | Social Worker - Clinical | 1660 (Nebraska) | Primary |
104100000X | Social Worker | 03661 (Iowa) | 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. Mrs Carla Rae Smith allows following entities to bill medicare on her behalf.
Entity Name | Pender Community Hospital District |
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Entity Type | Part A Provider - Critical Access Hospital |
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Entity Identifiers | NPI Number: 1578627196 PECOS PAC ID: 3971412842 Enrollment ID: O20071128000899 |
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Entity Name | Pender Community Hospital District |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1992869101 PECOS PAC ID: 3971412842 Enrollment ID: O20090206000139 |
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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. Mrs Carla Rae 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 |
Mrs Carla Rae Smith, Po Box 100, Pender, NE 68047-0100 Ph: (402) 385-4004 | Mrs Carla Rae Smith, 100 Hospital Dr, Pender, NE 68047-4507 Ph: (402) 385-3083 |
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