Corey Nicole Smith, is a medicare enrolled "Social Worker" provider in Newark, New Jersey. Her current practice location is
183 S Orange Ave Fl E, Newark, New Jersey. You can reach out to her office (for appointments etc.) via phone at
(973) 972-6523.
Corey Nicole Smith is licensed to practice in New Jersey (license number 44SL06577100) 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 1124769690.
Healthcare Provider's Profile
| Full Name | Corey Nicole Smith |
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| Gender | Female |
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| Speciality | Social Worker |
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| Location | 183 S Orange Ave Fl E, Newark, New Jersey |
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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: 1124769690
- Provider Enumeration Date: 04/06/2022
- Last Update Date: 04/06/2022
Medicare PECOS Information:
- PECOS PAC ID: 6608240973
- Enrollment ID: I20230328002489
Medical Identifiers
Medical identifiers for Corey Nicole Smith such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1124769690 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 101YA0400X | Counselor - Addiction (substance Use Disorder) | 37LC00345300 (New Jersey) | Secondary |
| 104100000X | Social Worker | 44SL06577100 (New Jersey) | 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. Corey Nicole Smith allows following entities to bill medicare on her behalf.
| Entity Name | Rutgers Health Behavioral Health |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1891956298
PECOS PAC ID: 2466346770
Enrollment ID: O20040419001021 |
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| Entity Name | Cpc Behavioral Healthcare Inc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1366497356
PECOS PAC ID: 3971593161
Enrollment ID: O20040518000822 |
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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. Corey Nicole 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 |
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Corey Nicole Smith,
671 Hoes Lane,
Piscataway, NJ 08854
Ph: () - | Corey Nicole Smith,
183 S Orange Ave Fl E,
Newark, NJ 07103-2757
Ph: (973) 972-6523 |
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