Kimberly L Smith, in Orlando, FL - Medicare Counselor Provider

Kimberly L Smith, is a medicare enrolled "Counselor - Mental Health" provider in Orlando, Florida. Her current practice location is 6705 King Rail Ct Fl 32810, Orlando, Florida. You can reach out to her office (for appointments etc.) via phone at (407) 513-2458.

Kimberly L Smith is licensed to practice in Florida (license number SW11314) 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 1578814166.

Contact Information

	Kimberly L Smith,
	6705 King Rail Ct Fl 32810, Orlando, FL 32810-6707
	(407) 513-2458
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Kimberly L Smith
Gender	Female
Speciality	Counselor - Mental Health
Location	6705 King Rail Ct Fl 32810, Orlando, Florida
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1578814166
Provider Enumeration Date: 09/24/2012
Last Update Date: 09/26/2024

Medicare PECOS Information:

PECOS PAC ID: 1557501335
Enrollment ID: I20130628000599

Medical Identifiers

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

Identifier	Type	State	Issuer
1578814166	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
101YM0800X	Counselor - Mental Health	(* (Not Available))	Secondary
101YM0800X	Counselor - Mental Health	SW11314 (Florida)	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. Kimberly L Smith allows following entities to bill medicare on her behalf.

Entity Name	Cotler Healthcare & Development Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1225075047 PECOS PAC ID: 0143121145 Enrollment ID: O20040114000075

Entity Name	Grow Healthcare Group Pa
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1245845932 PECOS PAC ID: 3476961368 Enrollment ID: O20210414000053

Entity Name	Shalanda's House. Inc.
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1235815150 PECOS PAC ID: 5890131312 Enrollment ID: O20240306004465

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. Kimberly L 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
Kimberly L Smith, 715 Almond St Ste A, Clermont, FL 34711-3121 Ph: (352) 931-1042	Kimberly L Smith, 6705 King Rail Ct Fl 32810, Orlando, FL 32810-6707 Ph: (407) 513-2458

Reviews and Comments

Counselor in Orlando, FL

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Kimberly L Smith, - Medicare Counselor in Orlando, FL