Mr Travis Dale Smith, LPC in Phoenix, AZ - Medicare Counselor Provider

Mr Travis Dale Smith, LPC is a medicare enrolled "Counselor - Professional" provider in Phoenix, Arizona. His current practice location is 2255 W Northern Ave, Phoenix, Arizona. You can reach out to his office (for appointments etc.) via phone at (602) 995-1767.

Mr Travis Dale Smith is licensed to practice in Arizona (license number LPC-18444) 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 1245864958.

Contact Information

	Mr Travis Dale Smith, LPC
	2255 W Northern Ave, Phoenix, AZ 85021-4936
	(602) 995-1767
	(602) 995-1863

Map and Direction

Healthcare Provider's Profile

Full Name	Mr Travis Dale Smith
Gender	Male
Speciality	Counselor - Professional
Location	2255 W Northern Ave, Phoenix, Arizona
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1245864958
Provider Enumeration Date: 03/03/2020
Last Update Date: 03/03/2020

Medicare PECOS Information:

PECOS PAC ID: 6103278874
Enrollment ID: I20240118000666

Medical Identifiers

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

Identifier	Type	State	Issuer
1245864958	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
101YP2500X	Counselor - Professional	LPC-18444 (Arizona)	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 Travis Dale Smith allows following entities to bill medicare on his behalf.

Entity Name	Multicare Health System
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1497766638 PECOS PAC ID: 7719899897 Enrollment ID: O20031105000760

Entity Name	Valera Medical Pc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1437782349 PECOS PAC ID: 0547690521 Enrollment ID: O20220406000799

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 Travis Dale 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 Travis Dale Smith, LPC 2255 W Northern Ave, Phoenix, AZ 85021-4936 Ph: (602) 995-1767	Mr Travis Dale Smith, LPC 2255 W Northern Ave, Phoenix, AZ 85021-4936 Ph: (602) 995-1767

Reviews and Comments

Counselor in Phoenix, AZ

Ms. Martha White, Counselor Medicare: Not Enrolled in Medicare Practice Location: 3306 W Catalina Dr, Phoenix, AZ 85017 Phone: 602-353-0703 Fax: 602-353-0715
Philip Lee Mcdonald, LMSW Counselor Medicare: Not Enrolled in Medicare Practice Location: 1648 S 16th St, Phoenix, AZ 85034 Phone: 714-235-1970
Melinda Chapin, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 3640 W Osborn Rd, Phoenix, AZ 85019 Phone: 602-269-5300 Fax: 602-269-5380
Beverly Seyler, M.S. Counselor Medicare: Not Enrolled in Medicare Practice Location: 4525 E Saint Anne Ave, Phoenix, AZ 85042 Phone: 602-431-6685
Mrs. Virginia Joyce Gatson, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1110 E Mcdowell Rd, Phoenix, AZ 85006 Phone: 602-685-1940 Fax: 602-685-1944
Margaret Ann Beresford, MC, ATR-BC, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 4545 N. 36th Street, Suite 117, Phoenix, AZ 85018 Phone: 602-509-5771
Kevin Jessup, LAC Counselor Medicare: Not Enrolled in Medicare Practice Location: 4214 N 19th Pl, Phoenix, AZ 85016 Phone: 602-460-5350

Mr Travis Dale Smith, LPC - Medicare Counselor in Phoenix, AZ