Mrs Kim Marie Smith, LCSW, LMFT in Fort Wayne, IN - Medicare Clinical Social Worker Provider

Mrs Kim Marie Smith, LCSW, LMFT is a medicare enrolled "Counselor - Mental Health" provider in Fort Wayne, Indiana. She graduated from healthcare school in 1980 and has 44 years of diverse experience with area of expertise as Clinical Social Worker. She is a member of the group practice Burry And Smith Counseling Services Inc and her current practice location is 3266 Mallard Cove Ln, Fort Wayne, Indiana. You can reach out to her office (for appointments etc.) via phone at (260) 436-5986.

Mrs Kim Marie Smith is licensed to practice in Indiana (license number 34002738A) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1558493056.

Contact Information

	Mrs Kim Marie Smith, LCSW, LMFT
	3266 Mallard Cove Ln, Fort Wayne, IN 46804-2883
	(260) 436-5986
	(260) 436-1859

Map and Direction

Healthcare Provider's Profile

Full Name	Mrs Kim Marie Smith
Gender	Female
Speciality	Clinical Social Worker
Experience	44 Years
Location	3266 Mallard Cove Ln, Fort Wayne, Indiana
Accepts Medicare Assignments	Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Mrs Kim Marie Smith graduated from medical school in 1980

NPI Data:

NPI Number: 1558493056
Provider Enumeration Date: 03/10/2007
Last Update Date: 07/08/2007

Medicare PECOS Information:

PECOS PAC ID: 4284895533
Enrollment ID: I20120412000437

Medical Identifiers

Medical identifiers for Mrs Kim Marie Smith such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1558493056	NPI	-	NPPES
000000200512	Other	IN	ANTHEM BLUE CROSS BLUE SH
090831	Other		MHN

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
101YM0800X	Counselor - Mental Health	34002738A (Indiana)	Primary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Burry And Smith Counseling Services Inc	4688834328	2

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. Mrs Kim Marie Smith allows following entities to bill medicare on her behalf.

Entity Name	Burry And Smith Counseling Services Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1902823891 PECOS PAC ID: 4688834328 Enrollment ID: O20120404000521

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. Mrs Kim Marie 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
Mrs Kim Marie Smith, LCSW, LMFT 3266 Mallard Cove Ln, Fort Wayne, IN 46804-2883 Ph: (260) 436-5986	Mrs Kim Marie Smith, LCSW, LMFT 3266 Mallard Cove Ln, Fort Wayne, IN 46804-2883 Ph: (260) 436-5986

Reviews and Comments

Counselor in Fort Wayne, IN

Courtney Lesley Washington, Counselor Medicare: Accepting Medicare Assignments Practice Location: 909 E State Blvd, Fort Wayne, IN 46805 Phone: 260-481-2700
Alicia Jean Digiulio, MA, MSED, LMHC Counselor Medicare: Not Enrolled in Medicare Practice Location: 9417 Saint Joe Center Rd, Fort Wayne, IN 46835 Phone: 260-255-5289
Jennifer Perry, MS Counselor Medicare: Not Enrolled in Medicare Practice Location: 909 E State Blvd, Fort Wayne, IN 46805 Phone: 260-481-2700 Fax: 260-481-2709
Raphilla D Dixie, Counselor Medicare: Medicare Enrolled Practice Location: 3005 E State Blvd, Fort Wayne, IN 46805 Phone: 260-267-9498 Fax: 260-739-3618
Timothy Jay Hill, MSED Counselor Medicare: Not Enrolled in Medicare Practice Location: 2100 Goshen Rd, Fort Wayne, IN 46808 Phone: 260-471-3500
Rita Kay Self, M.S. Counselor Medicare: Not Enrolled in Medicare Practice Location: 3010 E State Blvd, Fort Wayne, IN 46805 Phone: 260-471-2300 Fax: 260-471-2778
Rachida Bejja, MSED, LMHC Counselor Medicare: Not Enrolled in Medicare Practice Location: 10828 Coldwater Rd, Fort Wayne, IN 46845 Phone: 260-415-8267 Fax: 260-426-0270

Mrs Kim Marie Smith, LCSW, LMFT - Medicare Counselor in Fort Wayne, IN