Dr Selena Nicole Smith, LAPSW, LADACII, PHD is a medicare enrolled "Social Worker - Clinical" provider in Memphis, Tennessee. Her current practice location is
5865 Ridgeway Center Pkwy Ste 300, Memphis, Tennessee. You can reach out to her office (for appointments etc.) via phone at
(901) 672-7857.
Dr Selena Nicole Smith is licensed to practice in * (Not Available) (license number 155) 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 1962549733.
Healthcare Provider's Profile
| Full Name | Dr Selena Nicole Smith |
|---|
| Gender | Female |
|---|
| Speciality | Social Worker - Clinical |
|---|
| Location | 5865 Ridgeway Center Pkwy Ste 300, Memphis, Tennessee |
|---|
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
|---|
NPI Data:
- NPI Number: 1962549733
- Provider Enumeration Date: 01/31/2007
- Last Update Date: 02/19/2021
Medicare PECOS Information:
- PECOS PAC ID: 0042755068
- Enrollment ID: I20240715002784
Medical Identifiers
Medical identifiers for Dr Selena Nicole Smith such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1962549733 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | 1360 (Tennessee) | Secondary |
| 1041C0700X | Social Worker - Clinical | CMSW0006120 (Tennessee) | Secondary |
| 1041C0700X | Social Worker - Clinical | 155 (* (Not Available)) | 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. Dr Selena Nicole Smith allows following entities to bill medicare on her behalf.
| Entity Name | Hopefield Healthcare Services Pllc |
|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
|---|
| Entity Identifiers | NPI Number: 1932645991
PECOS PAC ID: 6002191947
Enrollment ID: O20170316000707 |
|---|
| Entity Name | Hopefield Mental Health Foundation, Inc |
|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
|---|
| Entity Identifiers | NPI Number: 1831845593
PECOS PAC ID: 7719350255
Enrollment ID: O20230302001520 |
|---|
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. Dr Selena 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 |
|---|
Dr Selena Nicole Smith, LAPSW, LADACII, PHD
5865 Ridgeway Center Pkwy Ste 300,
Memphis, TN 38120-4014
Ph: (901) 672-7857 | Dr Selena Nicole Smith, LAPSW, LADACII, PHD
5865 Ridgeway Center Pkwy Ste 300,
Memphis, TN 38120-4014
Ph: (901) 672-7857 |
Reviews and Comments