Mr Michael Wayne Smith- Fernandez, LCSW in Winston, OR - Medicare Clinical Social Worker Provider

Mr Michael Wayne Smith- Fernandez, LCSW is a medicare enrolled "Counselor - Mental Health" provider in Winston, Oregon. He graduated from healthcare school in 2016 and has 9 years of diverse experience with area of expertise as Clinical Social Worker. He is a member of the group practice Second Wind Mental Health Clinic and his current practice location is 11 Sw Brantley Dr, Winston, Oregon. You can reach out to his office (for appointments etc.) via phone at (541) 679-0366.

Mr Michael Wayne Smith- Fernandez is licensed to practice in Oregon (license number L10476) 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 1154788065.

Contact Information

	Mr Michael Wayne Smith- Fernandez, LCSW
	11 Sw Brantley Dr, Winston, OR 97496-4526
	(541) 679-0366
	(541) 679-4821

Map and Direction

Healthcare Provider's Profile

Full Name	Mr Michael Wayne Smith- Fernandez
Gender	Male
Speciality	Clinical Social Worker
Experience	9 Years
Location	11 Sw Brantley Dr, Winston, Oregon
Accepts Medicare Assignments	Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Mr Michael Wayne Smith- Fernandez graduated from medical school in 2016

NPI Data:

NPI Number: 1154788065
Provider Enumeration Date: 01/22/2016
Last Update Date: 01/25/2021

Medicare PECOS Information:

PECOS PAC ID: 9638583669
Enrollment ID: I20210202001679

Medical Identifiers

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

Identifier	Type	State	Issuer
1154788065	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
101YM0800X	Counselor - Mental Health	L10476 (Oregon)	Primary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Second Wind Mental Health Clinic	2769792183	3

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 Michael Wayne Smith- Fernandez allows following entities to bill medicare on his behalf.

Entity Name	Second Wind Mental Health Clinic
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1679957708 PECOS PAC ID: 2769792183 Enrollment ID: O20151113001380

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 Michael Wayne Smith- Fernandez 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 Michael Wayne Smith- Fernandez, LCSW 11 Sw Brantley Dr, Winston, OR 97496-4526 Ph: (541) 679-0366	Mr Michael Wayne Smith- Fernandez, LCSW 11 Sw Brantley Dr, Winston, OR 97496-4526 Ph: (541) 679-0366

Reviews and Comments

Counselor in Winston, OR

Mrs. Heather Amie Jameson, M.S., LMHC, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 481 Serengeti Dr, Winston, OR 97496 Phone: 805-535-0484
Ann Carey, Counselor Medicare: Not Enrolled in Medicare Practice Location: 11 Sw Brantley Dr, Winston, OR 97496 Phone: 541-679-0366 Fax: 541-679-4821
Ronald Bustamante, Counselor Medicare: Not Enrolled in Medicare Practice Location: 11 Sw Brantley Dr, Winston, OR 97496 Phone: 541-679-0366 Fax: 541-679-4821
Deborah Ann Dhillon, LCSW Counselor Medicare: Accepting Medicare Assignments Practice Location: 671 Sw Main St, Winston, OR 97496 Phone: 541-672-2691 Fax: 833-299-8415
Ms. Lisa Marie Jennings, MSW,QMHP, CSWA, CADC Counselor Medicare: Accepting Medicare Assignments Practice Location: 11 Sw Brantley Dr, Winston, OR 97496 Phone: 541-679-0366 Fax: 541-679-4821

Mr Michael Wayne Smith- Fernandez, LCSW - Medicare Counselor in Winston, OR