Mrs Tammie Sue Smith, LCPC is a medicare enrolled "Counselor - Mental Health" provider in Fairfield, Montana. Her current practice location is
201 1st Ave N, Fairfield, Montana. You can reach out to her office (for appointments etc.) via phone at
(406) 467-3447.
Mrs Tammie Sue Smith is licensed to practice in Montana (license number BBH-LCPC-LIC-43683) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1780257717.
Healthcare Provider's Profile
Full Name | Mrs Tammie Sue Smith |
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Gender | Female |
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Speciality | Counselor - Mental Health |
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Location | 201 1st Ave N, Fairfield, Montana |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1780257717
- Provider Enumeration Date: 07/19/2021
- Last Update Date: 09/29/2023
Medicare PECOS Information:
- PECOS PAC ID: 5092152264
- Enrollment ID: I20240416003838
Medical Identifiers
Medical identifiers for Mrs Tammie Sue Smith such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1780257717 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
101YP2500X | Counselor - Professional | BBH-LCPC-LIC-43683 (Montana) | Secondary |
101YS0200X | Counselor - School | 83382 (Montana) | Secondary |
101YM0800X | Counselor - Mental Health | BBH-LCPC-LIC-43683 (Montana) | 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. Mrs Tammie Sue Smith allows following entities to bill medicare on her behalf.
Entity Name | Wholly Authentic Life Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1043930993 PECOS PAC ID: 6103263363 Enrollment ID: O20240322003353 |
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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 Tammie Sue 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 Tammie Sue Smith, LCPC Po Box 907, Fairfield, MT 59436-0907 Ph: (406) 799-2711 | Mrs Tammie Sue Smith, LCPC 201 1st Ave N, Fairfield, MT 59436-9245 Ph: (406) 467-3447 |
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