Kelly Elizabeth Smith, LCSW, CSAC is a medicare enrolled "Social Worker - Clinical" provider in Lebanon, Virginia. Her current practice location is
216 Gilmer Street, Lebanon, Virginia. You can reach out to her office (for appointments etc.) via phone at
(276) 889-3063.
Kelly Elizabeth Smith is licensed to practice in Virginia (license number 0904010148) 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 1568976751.
Healthcare Provider's Profile
Full Name | Kelly Elizabeth Smith |
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Gender | Female |
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Speciality | Social Worker - Clinical |
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Location | 216 Gilmer Street, Lebanon, Virginia |
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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: 1568976751
- Provider Enumeration Date: 11/27/2017
- Last Update Date: 11/27/2017
Medicare PECOS Information:
- PECOS PAC ID: 9335524321
- Enrollment ID: I20220912001383
Medical Identifiers
Medical identifiers for Kelly Elizabeth Smith such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1568976751 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
101YA0400X | Counselor - Addiction (substance Use Disorder) | 0710103119 (Virginia) | Secondary |
1041C0700X | Social Worker - Clinical | 0904010148 (Virginia) | 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. Kelly Elizabeth Smith allows following entities to bill medicare on her behalf.
Entity Name | Savida Health, Pc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1548739170 PECOS PAC ID: 4082809967 Enrollment ID: O20190426001267 |
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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. Kelly Elizabeth 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 |
Kelly Elizabeth Smith, LCSW, CSAC Po Box 810, Cedar Bluff, VA 24609-0810 Ph: (276) 964-6702 | Kelly Elizabeth Smith, LCSW, CSAC 216 Gilmer Street, Lebanon, VA 24266 Ph: (276) 889-3063 |
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