Max Smith, - Medicare Counselor in Oblong, IL

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Max Smith, is a medicare enrolled "Counselor - Professional" provider in Oblong, Illinois. He graduated from healthcare school in 2021 and has 4 years of diverse experience with area of expertise as Mental Health Counselor. He is a member of the group practice Edgewood Clinical Services P.c. and his current practice location is 103 W Main St Ste 6, Oblong, Illinois. You can reach out to his office (for appointments etc.) via phone at (618) 636-0719.

Max Smith is licensed to practice in Illinois (license number 180016323) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1548933146.

Contact Information

Max Smith,
103 W Main St Ste 6,
Oblong, IL 62449-1165
(618) 636-0719
Not Available

Map and Direction


Healthcare Provider's Profile

Full NameMax Smith
GenderMale
SpecialityMental Health Counselor
Experience4 Years
Location103 W Main St Ste 6, Oblong, Illinois
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Max Smith graduated from medical school in 2021
  NPI Data:
  • NPI Number: 1548933146
  • Provider Enumeration Date: 07/29/2021
  • Last Update Date: 04/02/2025
  Medicare PECOS Information:
  • PECOS PAC ID: 1153857693
  • Enrollment ID: I20241209000299

Medical Identifiers

Medical identifiers for Max Smith such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1548933146NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
101YP2500XCounselor - Professional 180016323 (Illinois)Primary
101YP2500XCounselor - Professional 178017178 (Illinois)Secondary

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Edgewood Clinical Services P.c.3971963901190

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. Max Smith allows following entities to bill medicare on his behalf.
Entity NameEdgewood Clinical Services P.c.
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1295914646
PECOS PAC ID: 3971963901
Enrollment ID: O20230721001228
Entity NamePivot Counseling & Consulting, Ltd
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1386457026
PECOS PAC ID: 8224555842
Enrollment ID: O20250507002233

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. Max 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 AddressPractice Location Address
Max Smith,
103 W Main St Ste 6,
Oblong, IL 62449-1165

Ph: () -		Max Smith,
103 W Main St Ste 6,
Oblong, IL 62449-1165

Ph: (618) 636-0719

Reviews and Comments


Counselor in Oblong, IL

Mrs. Jodi L Wiman, MA
Counselor
Medicare: Accepting Medicare Assignments
Practice Location: 103 W Main St, Suite 5, Oblong, IL 62449
Phone: 618-592-3116    Fax: 618-592-3117
Mrs. Marcia Thorsen, LCPC
Counselor
Medicare: Not Enrolled in Medicare
Practice Location: 108 S Garfield St, Oblong, IL 62449
Phone: 618-769-2185    

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.