Mr Brandon Michael Smith, LPC in Springfield, IL

Mr Brandon Michael Smith, LPC is a medicare enrolled "Counselor - Professional" provider in Springfield, Illinois. His current practice location is 1025 S 6th St, Springfield, Illinois. You can reach out to his office (for appointments etc.) via phone at (217) 528-7541.

Mr Brandon Michael Smith is licensed to practice in Illinois (license number 178020431) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1063230456.

Contact Information

	Mr Brandon Michael Smith, LPC
	1025 S 6th St, Springfield, IL 62703-2499
	(217) 528-7541
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Mr Brandon Michael Smith
Gender	Male
Speciality	Counselor - Professional
Location	1025 S 6th St, Springfield, Illinois
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1063230456
Provider Enumeration Date: 10/02/2024
Last Update Date: 12/19/2024

Medicare PECOS Information:

PECOS PAC ID: 9537692397
Enrollment ID: I20241031002725

Medical Identifiers

Medical identifiers for Mr Brandon Michael Smith such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1063230456	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
101Y00000X	Counselor	178.020431 (Illinois)	Secondary
101YP2500X	Counselor - Professional	178020431 (Illinois)	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. Mr Brandon Michael Smith allows following entities to bill medicare on his behalf.

Entity Name	Springfield Clinic Llp
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1780638478 PECOS PAC ID: 0547166076 Enrollment ID: O20040331000826

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. Mr Brandon Michael 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
Mr Brandon Michael Smith, LPC Po Box 19248, Springfield, IL 62794-9248 Ph: (217) 528-7541	Mr Brandon Michael Smith, LPC 1025 S 6th St, Springfield, IL 62703-2499 Ph: (217) 528-7541

Reviews and Comments

Counselor in Springfield, IL

Mr. Jonathan Dean Ponser, M.A., LCPC, NCC Counselor Medicare: Medicare Enrolled Practice Location: 901 N 1st St, Springfield, IL 62702 Phone: 217-788-4065 Fax: 217-778-8414
Michele L Herron, LCPC, CADC/MISA II Counselor Medicare: Not Enrolled in Medicare Practice Location: 408 S 5th St, Springfield, IL 62701 Phone: 217-528-1988 Fax: 217-528-1989
Amy Nudo I, MS Counselor Medicare: Not Enrolled in Medicare Practice Location: 5230 South 6th Street Road, Springfield, IL 62703 Phone: 217-585-1180 Fax: 217-585-5651
Barbara J. Wolfson, L.C.P.C. Counselor Medicare: Not Enrolled in Medicare Practice Location: 1025 S 6th St, Springfield, IL 62703 Phone: 217-528-7541
Jenna Yates, Counselor Medicare: Not Enrolled in Medicare Practice Location: 3233 Mathers Rd Ste A, Springfield, IL 62711 Phone: 217-899-5412
Kayla Jane Gerdes, MA, LCPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 426 W Cook St, Springfield, IL 62704 Phone: 217-502-0678
Rachel Rambach, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 4481 Ash Grove Dr Ste B, Springfield, IL 62711 Phone: 217-970-2727

Mr Brandon Michael Smith, LPC - Medicare Counselor in Springfield, IL