Mr Brad Richard Smedley, MFT is a medicare enrolled "Marriage & Family Therapist" provider in Dalton Gardens, Idaho. His current practice location is
5920 N Government Way Ste 4, Dalton Gardens, Idaho. You can reach out to his office (for appointments etc.) via phone at
(509) 989-4935.
Mr Brad Richard Smedley is licensed to practice in Idaho (license number LMFT-7872) 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 1356726145.
Healthcare Provider's Profile
| Full Name | Mr Brad Richard Smedley |
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| Gender | Male |
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| Speciality | Marriage & Family Therapist |
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| Location | 5920 N Government Way Ste 4, Dalton Gardens, Idaho |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1356726145
- Provider Enumeration Date: 07/22/2015
- Last Update Date: 10/05/2024
Medicare PECOS Information:
- PECOS PAC ID: 4688033822
- Enrollment ID: I20240115000564
Medical Identifiers
Medical identifiers for Mr Brad Richard Smedley such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1356726145 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 106H00000X | Marriage & Family Therapist | LF60803645 (Washington) | Secondary |
| 106H00000X | Marriage & Family Therapist | LMFT-7872 (Idaho) | 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 Brad Richard Smedley allows following entities to bill medicare on his behalf.
| Entity Name | Lifehouse Healthcare Pllc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1467142315
PECOS PAC ID: 2062872625
Enrollment ID: O20230714002054 |
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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. Mr Brad Richard Smedley 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 |
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Mr Brad Richard Smedley, MFT
3675 N Scotch Pine Ln Apt 3,
Coeur D Alene, ID 83815-1899
Ph: (509) 989-4935 | Mr Brad Richard Smedley, MFT
5920 N Government Way Ste 4,
Dalton Gardens, ID 83815-9200
Ph: (509) 989-4935 |
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