Mr Charles Smith, LMHC in Mangonia Park, FL - Medicare Counselor Provider

Mr Charles Smith, LMHC is a medicare enrolled "Counselor - Addiction (substance Use Disorder)" provider in Mangonia Park, Florida. His current practice location is 933 45th St, Mangonia Park, Florida. You can reach out to his office (for appointments etc.) via phone at (561) 841-1000.

Mr Charles Smith is licensed to practice in Florida (license number 18654) 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 1568058378.

Contact Information

	Mr Charles Smith, LMHC
	933 45th St, Mangonia Park, FL 33407-2413
	(561) 841-1000
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Mr Charles Smith
Gender	Male
Speciality	Counselor - Addiction (substance Use Disorder)
Location	933 45th St, Mangonia Park, Florida
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1568058378
Provider Enumeration Date: 12/15/2020
Last Update Date: 12/15/2020

Medicare PECOS Information:

PECOS PAC ID: 2365889573
Enrollment ID: I20240325000173

Medical Identifiers

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

Identifier	Type	State	Issuer
1568058378	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
101YA0400X	Counselor - Addiction (substance Use Disorder)	18654 (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. Mr Charles Smith allows following entities to bill medicare on his behalf.

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

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 Charles 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 Charles Smith, LMHC 933 45th St, Mangonia Park, FL 33407-2413 Ph: (561) 841-1000	Mr Charles Smith, LMHC 933 45th St, Mangonia Park, FL 33407-2413 Ph: (561) 841-1000

Reviews and Comments

Counselor in Mangonia Park, FL

Ms. Youlanda Thompson, MS, LMHC Counselor Medicare: Not Enrolled in Medicare Practice Location: 1720 E Tiffany Dr Ste 102, Mangonia Park, FL 33407 Phone: 561-844-3556 Fax: 561-845-0316
Heidi Escalona Morgia, LMHC Counselor Medicare: Not Enrolled in Medicare Practice Location: 1720 E Tiffany Dr Ste 102, Mangonia Park, FL 33407 Phone: 561-844-3556
Suzanne Sherwood, Counselor Medicare: Not Enrolled in Medicare Practice Location: 933 45th St, Mangonia Park, FL 33407 Phone: 561-841-1000 Fax: 561-841-1151
Mrs. Coretta Scott, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1772 Lindley St, Mangonia Park, FL 33407 Phone: 561-906-8519
Ms. Christine Marie Vanbasten, LMHC Counselor Medicare: Not Enrolled in Medicare Practice Location: 933 45th St, Mangonia Park, FL 33407 Phone: 561-841-1058
Jeffrey Fletcher, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1720 E Tiffany Dr Ste 102, Mangonia Park, FL 33407 Phone: 561-844-3556

Mr Charles Smith, LMHC - Medicare Counselor in Mangonia Park, FL