Dr Maryam Smith, PSYD is a medicare enrolled "Psychologist - Clinical" provider in San Francisco, California. Her current practice location is
3609 Sacramento St # 94118, San Francisco, California. You can reach out to her office (for appointments etc.) via phone at
(415) 237-0377.
Dr Maryam Smith is licensed to practice in California (license number PSY27252) 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 1396916169.
Healthcare Provider's Profile
Full Name | Dr Maryam Smith |
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Gender | Female |
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Speciality | Psychologist - Clinical |
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Location | 3609 Sacramento St # 94118, San Francisco, California |
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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: 1396916169
- Provider Enumeration Date: 03/19/2008
- Last Update Date: 06/29/2023
Medicare PECOS Information:
- PECOS PAC ID: 4688089980
- Enrollment ID: I20210218002551
Medical Identifiers
Medical identifiers for Dr Maryam Smith such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1396916169 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
101YM0800X | Counselor - Mental Health | (* (Not Available)) | Secondary |
103TC0700X | Psychologist - Clinical | PSY27252 (California) | 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. Dr Maryam Smith allows following entities to bill medicare on her behalf.
Entity Name | Memory Check Psychological Services, A Professional Corporation |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1912184219 PECOS PAC ID: 7416856422 Enrollment ID: O20040107001021 |
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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. Dr Maryam 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 |
Dr Maryam Smith, PSYD 222 Paul Scannell Dr, San Mateo, CA 94402-4061 Ph: (415) 647-7798 | Dr Maryam Smith, PSYD 3609 Sacramento St # 94118, San Francisco, CA 94118-1709 Ph: (415) 237-0377 |
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