Jeremy Smith, in Pueblo, CO - Medicare Counselor Provider

Jeremy Smith, is a medicare enrolled "Counselor - Mental Health" provider in Pueblo, Colorado. His current practice location is 41 Montebello Rd, Suite 200, Pueblo, Colorado. You can reach out to his office (for appointments etc.) via phone at (719) 545-2746.

Jeremy Smith is licensed to practice in Colorado (license number LPC.0013489) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1023423597.

Contact Information

	Jeremy Smith,
	41 Montebello Rd, Suite 200, Pueblo, CO 81001-1379
	(719) 545-2746
	(719) 542-9638

Map and Direction

Healthcare Provider's Profile

Full Name	Jeremy Smith
Gender	Male
Speciality	Counselor - Mental Health
Location	41 Montebello Rd, Pueblo, Colorado
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1023423597
Provider Enumeration Date: 06/24/2014
Last Update Date: 01/04/2017

Medicare PECOS Information:

PECOS PAC ID: 8527411438
Enrollment ID: I20240126003245

Medical Identifiers

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

Identifier	Type	State	Issuer
1023423597	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
101YM0800X	Counselor - Mental Health	LPC.0013489 (Colorado)	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. Jeremy Smith allows following entities to bill medicare on his behalf.

Entity Name	Appleseed Community Mental Health Center Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1215961594 PECOS PAC ID: 1557269784 Enrollment ID: O20031226000229

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. Jeremy 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
Jeremy Smith, 41 Montebello Rd, Suite Ll1, Pueblo, CO 81001-1379 Ph: (719) 543-7115	Jeremy Smith, 41 Montebello Rd, Suite 200, Pueblo, CO 81001-1379 Ph: (719) 545-2746

Reviews and Comments

Counselor in Pueblo, CO

Mr. Darren Mitchell Speier, BS CAC II Counselor Medicare: Not Enrolled in Medicare Practice Location: 509 E 13th St, Pueblo, CO 81001 Phone: 719-546-6666 Fax: 719-543-7764
Penelope Hyland, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1026 W Abriendo Ave, Pueblo, CO 81004 Phone: 719-545-2746 Fax: 719-545-4100
Melissa Mahan Hall, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1026 W Abriendo Ave, Pueblo, CO 81004 Phone: 719-545-2746 Fax: 719-545-4100
Jaycob Gonzales-cordova, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1302 Chinook Ln, Pueblo, CO 81001 Phone: 719-545-2746 Fax: 719-423-1882
James Ryan Hall, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1304 Chinook Ln, Pueblo, CO 81001 Phone: 719-545-2746 Fax: 719-584-0110
Felicia Gray, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1591 Taos Rd, Pueblo, CO 81006 Phone: 719-545-2746
Stanley Schleifer, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1304 Chinook Ln, Pueblo, CO 81001 Phone: 719-545-2746 Fax: 719-584-0119

Jeremy Smith, - Medicare Counselor in Pueblo, CO