Kelley Smodic, CRNP is a medicare enrolled "Nurse Practitioner - Psychiatric/mental Health" provider in Greensburg, Pennsylvania. She graduated from healthcare school in 2004 and has 20 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Innervision Therapy, Llc and her current practice location is
1117 Woodward Dr, Suite 4, Greensburg, Pennsylvania. You can reach out to her office (for appointments etc.) via phone at
(724) 834-0432.
Kelley Smodic is licensed to practice in Pennsylvania (license number SP008361) and she also participates in the medicare program. She
accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1083895965.
Healthcare Provider's Profile
| Full Name | Kelley Smodic |
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| Gender | Female |
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| Speciality | Nurse Practitioner |
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| Experience | 20 Years |
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| Location | 1117 Woodward Dr, Greensburg, Pennsylvania |
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| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Kelley Smodic graduated from medical school in 2004
NPI Data:
- NPI Number: 1083895965
- Provider Enumeration Date: 11/19/2007
- Last Update Date: 09/24/2019
Medicare PECOS Information:
- PECOS PAC ID: 7618904921
- Enrollment ID: I20050719000479
Medical Identifiers
Medical identifiers for Kelley Smodic such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1083895965 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 101Y00000X | Counselor | SP008361 (Pennsylvania) | Secondary |
| 363LP0808X | Nurse Practitioner - Psychiatric/mental Health | SP008361 (Pennsylvania) | Primary |
| 101YM0800X | Counselor - Mental Health | SP008361 (Pennsylvania) | Secondary |
| 101YP2500X | Counselor - Professional | SP008361 (Pennsylvania) | Secondary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|
| Innervision Therapy, Llc | 6507945896 | 2 |
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. Kelley Smodic allows following entities to bill medicare on her behalf.
| Entity Name | Innervision Therapy, Llc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1740460260
PECOS PAC ID: 6507945896
Enrollment ID: O20080512000683 |
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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. Kelley Smodic 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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Kelley Smodic, CRNP
1117 Woodward Dr, Suite 4,
Greensburg, PA 15601-7228
Ph: (724) 834-0432 | Kelley Smodic, CRNP
1117 Woodward Dr, Suite 4,
Greensburg, PA 15601-7228
Ph: (724) 834-0432 |
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