Stacy Smith, MSW, LISW in Ashtabula, OH - Medicare Social Worker Provider

Stacy Smith, MSW, LISW is a medicare enrolled "Social Worker - Clinical" provider in Ashtabula, Ohio. Her current practice location is 4726 Main Ave, Ashtabula, Ohio. You can reach out to her office (for appointments etc.) via phone at (440) 992-8552.

Stacy Smith is licensed to practice in Ohio (license number I.1801333) 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 1386187342.

Contact Information

	Stacy Smith, MSW, LISW
	4726 Main Ave, Ashtabula, OH 44004-6929
	(440) 992-8552
	(440) 992-6631

Map and Direction

Healthcare Provider's Profile

Full Name	Stacy Smith
Gender	Female
Speciality	Social Worker - Clinical
Location	4726 Main Ave, Ashtabula, Ohio
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1386187342
Provider Enumeration Date: 11/23/2016
Last Update Date: 12/27/2018

Medicare PECOS Information:

PECOS PAC ID: 4385980788
Enrollment ID: I20190107000271

Medical Identifiers

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

Identifier	Type	State	Issuer
1386187342	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
1041C0700X	Social Worker - Clinical	I.1801333 (Ohio)	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. Stacy Smith allows following entities to bill medicare on her behalf.

Entity Name	Signature Health, Inc.
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1679767289 PECOS PAC ID: 8628970985 Enrollment ID: O20040126000762

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. Stacy 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
Stacy Smith, MSW, LISW 4726 Main Ave, Ashtabula, OH 44004-6929 Ph: (440) 992-8552	Stacy Smith, MSW, LISW 4726 Main Ave, Ashtabula, OH 44004-6929 Ph: (440) 992-8552

Reviews and Comments

Social Worker in Ashtabula, OH

Valerie Lynn Weber, MSW, LISW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 4726 Main Ave, Ashtabula, OH 44004 Phone: 440-992-8552 Fax: 440-992-6631
Susan B Borstein, MSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 355 W Prospect Rd, Suite 102, Ashtabula, OH 44004 Phone: 440-998-7541 Fax: 440-998-7541
Joanna Castrilla-cole, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 4726 Main Ave, Ashtabula, OH 44004 Phone: 440-992-8552 Fax: 440-992-6631
Nicole Marie Noscal, LISW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 4200 Park Ave Fl 2, Ashtabula, OH 44004 Phone: 440-992-8552 Fax: 440-992-6631
Mr. Deryl Sterling Nazor, L.S.W. Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 4200 Park Ave, 3rd Floor, Ashtabula, OH 44004 Phone: 440-992-2121
H Douglas Hornbeck, LISW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 4510 Collins Blvd, Suite 4, Ashtabula, OH 44004 Phone: 440-992-9777 Fax: 440-992-9683
Mrs. Janet Phyllis Fowkes, LISW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 4200 Park Ave, North Coast Center Floor 2, Ashtabula, OH 44004 Phone: 440-992-8552 Fax: 440-992-8537

Stacy Smith, MSW, LISW - Medicare Clinical Social Worker in Ashtabula, OH