Jordan Smith, in Malvern, AR - Medicare Counselor Provider

Jordan Smith, is a medicare enrolled "Counselor - Mental Health" provider in Malvern, Arkansas. His current practice location is 1628 E Page Ave, Malvern, Arkansas. You can reach out to his office (for appointments etc.) via phone at (501) 315-3344.

Jordan Smith is licensed to practice in * (Not Available) (license number ) 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 1114569118.

Contact Information

	Jordan Smith,
	1628 E Page Ave, Malvern, AR 72104-4524
	(501) 315-3344
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Jordan Smith
Gender	Male
Speciality	Counselor - Mental Health
Location	1628 E Page Ave, Malvern, Arkansas
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1114569118
Provider Enumeration Date: 10/10/2019
Last Update Date: 12/17/2024

Medicare PECOS Information:

PECOS PAC ID: 3274061502
Enrollment ID: I20250114001254

Medical Identifiers

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

Identifier	Type	State	Issuer
1114569118	NPI	-	NPPES

Medical Taxonomies and Licenses

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

Entity Name	Birch Tree Communities Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1770733768 PECOS PAC ID: 5597749747 Enrollment ID: O20040615001261

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. Jordan 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
Jordan Smith, Po Box 1589, Benton, AR 72018-1589 Ph: (501) 315-3344	Jordan Smith, 1628 E Page Ave, Malvern, AR 72104-4524 Ph: (501) 315-3344

Reviews and Comments

Counselor in Malvern, AR

Yvonne S Cook, LCSW Counselor Medicare: Medicare Enrolled Practice Location: 1615 Martin Luther King Blvd., Malvern, AR 72104 Phone: 501-620-5231 Fax: 501-620-5203
Jason Engle, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1519 E Page Ave, Malvern, AR 72104 Phone: 501-337-5600 Fax: 501-337-5603
Laura Hendershott, RN BSN Counselor Medicare: Not Enrolled in Medicare Practice Location: 829 Halbert St, Malvern, AR 72104 Phone: 870-557-3238
Kimberly Ann Boogaerts, Counselor Medicare: Not Enrolled in Medicare Practice Location: 829 Halbert St, Malvern, AR 72104 Phone: 501-332-4400
Laporschia Green, LPC Counselor Medicare: Medicare Enrolled Practice Location: 829 Halbert St, Malvern, AR 72104 Phone: 501-332-4400
Kayla Burnett, Counselor Medicare: Not Enrolled in Medicare Practice Location: 829 Halbert St, Malvern, AR 72104 Phone: 501-332-4400 Fax: 501-332-4403

Jordan Smith, - Medicare Counselor in Malvern, AR