Jessica Smith, is a medicare enrolled "Social Worker - Clinical" provider in Shreveport, Louisiana. Her current practice location is
820 Jordan St Ste 509, Shreveport, Louisiana. You can reach out to her office (for appointments etc.) via phone at
(318) 242-1441.
Jessica Smith is licensed to practice in Louisiana (license number 11238) 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 1639529118.
Healthcare Provider's Profile
Full Name | Jessica Smith |
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Gender | Female |
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Speciality | Social Worker - Clinical |
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Location | 820 Jordan St Ste 509, Shreveport, Louisiana |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1639529118
- Provider Enumeration Date: 06/15/2016
- Last Update Date: 06/07/2021
Medicare PECOS Information:
- PECOS PAC ID: 6103227111
- Enrollment ID: I20210629001129
Medical Identifiers
Medical identifiers for Jessica Smith such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1639529118 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
101Y00000X | Counselor | (* (Not Available)) | Secondary |
171M00000X | Case Manager/care Coordinator | (* (Not Available)) | Secondary |
1041C0700X | Social Worker - Clinical | 11238 (Louisiana) | 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. Jessica Smith allows following entities to bill medicare on her behalf.
Entity Name | Vibrant Minds Therapy & Consulting Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1629663620 PECOS PAC ID: 4385045392 Enrollment ID: O20210629000676 |
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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. Jessica 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 |
Jessica Smith, 820 Jordan St Ste 509, Shreveport, LA 71101-4526 Ph: (318) 242-1441 | Jessica Smith, 820 Jordan St Ste 509, Shreveport, LA 71101-4526 Ph: (318) 242-1441 |
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