Sydney Jacquelyn Smith, in Peoria, IL - Medicare Social Worker Provider

Sydney Jacquelyn Smith, is a medicare enrolled "Social Worker - Clinical" provider in Peoria, Illinois. Her current practice location is 7717 N Orange Prairie Rd, Peoria, Illinois. You can reach out to her office (for appointments etc.) via phone at (309) 589-6800.

Sydney Jacquelyn Smith is licensed to practice in Illinois (license number 149015809) 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 1134680234.

Contact Information

	Sydney Jacquelyn Smith,
	7717 N Orange Prairie Rd, Peoria, IL 61615-9323
	(309) 589-6800
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Sydney Jacquelyn Smith
Gender	Female
Speciality	Social Worker - Clinical
Location	7717 N Orange Prairie Rd, Peoria, Illinois
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1134680234
Provider Enumeration Date: 03/29/2019
Last Update Date: 03/29/2019

Medicare PECOS Information:

PECOS PAC ID: 5092056333
Enrollment ID: I20190415000068

Medical Identifiers

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

Identifier	Type	State	Issuer
1134680234	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
1041C0700X	Social Worker - Clinical	149015809 (Illinois)	Primary

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. Sydney Jacquelyn 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
Sydney Jacquelyn Smith, 7717 N Orange Prairie Rd, Peoria, IL 61615-9323 Ph: (309) 589-6800	Sydney Jacquelyn Smith, 7717 N Orange Prairie Rd, Peoria, IL 61615-9323 Ph: (309) 589-6800

Reviews and Comments

Social Worker in Peoria, IL

Ginger Renee Hughes Garner, LCSW, CADC Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 7717 N Orange Prairie Rd, Peoria, IL 61615 Phone: 309-267-2289
Jaimie M Peterson, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 2265 W Altorfer Dr, Peoria, IL 61615 Phone: 309-683-7700 Fax: 309-683-7752
Shannon Dolan, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 7717 N Orange Prairie Rd, Peoria, IL 61615 Phone: 309-589-6800
Eddie K Wong, MSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 600 Fayette St, Peoria, IL 61603 Phone: 309-671-8005 Fax: 309-671-8021
Catherine J Kilbourn, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 900 Main St, Suite 580, Peoria, IL 61602 Phone: 309-637-4266 Fax: 309-637-9836
Mrs. Sylvia Ana Murphy, LCSW, MA Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 2000 W Pioneer Pkwy, Suite 3, Peoria, IL 61615 Phone: 309-402-0666 Fax: 309-402-0563
Gina Dunphy, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 2906 W Greenbrier Ln, Peoria, IL 61614 Phone: 309-712-5909

Sydney Jacquelyn Smith, - Medicare Clinical Social Worker in Peoria, IL