Ms Nancy M Smith, MSW, LCSW, LAC is a medicare enrolled "Counselor - Addiction (substance Use Disorder)" provider in Superior, Montana. Her current practice location is
304 4th Ave E, Superior, Montana. You can reach out to her office (for appointments etc.) via phone at
(406) 822-5422.
Ms Nancy M Smith is licensed to practice in Montana (license number 765) 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 1740350461.
Healthcare Provider's Profile
| Full Name | Ms Nancy M Smith |
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| Gender | Female |
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| Speciality | Counselor - Addiction (substance Use Disorder) |
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| Location | 304 4th Ave E, Superior, Montana |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1740350461
- Provider Enumeration Date: 11/09/2006
- Last Update Date: 10/07/2024
Medicare PECOS Information:
- PECOS PAC ID: 9638066194
- Enrollment ID: I20040301000826
Medical Identifiers
Medical identifiers for Ms Nancy M Smith such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1740350461 | NPI | - | NPPES |
| 780552000 | Other | MT | MAGELLAN |
| 0503183 | Medicaid | MT | |
| 70675 | Other | MT | BLUE CROSS BLUE SHIELD |
| 5588 | Other | MT | MONTANA STATE LICENSE |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 1041C0700X | Social Worker - Clinical | 635 (Montana) | Secondary |
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | 765 (Montana) | 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. Ms Nancy M Smith allows following entities to bill medicare on her behalf.
| Entity Name | Choices Inc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1245558840
PECOS PAC ID: 0143461608
Enrollment ID: O20130725000278 |
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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. Ms Nancy M 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 |
|---|
Ms Nancy M Smith, MSW, LCSW, LAC
89 Mill Creek Rd,
Saint Regis, MT 59866-9710
Ph: (406) 649-2761 | Ms Nancy M Smith, MSW, LCSW, LAC
304 4th Ave E,
Superior, MT 59872-3075
Ph: (406) 822-5422 |
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