Lisa Smith, RDN is a medicare enrolled "Dietitian, Registered" provider in Ignacio, Colorado. Her current practice location is
2130 County Road 309a, Ignacio, Colorado. You can reach out to her office (for appointments etc.) via phone at
(970) 759-1241.
Lisa Smith is licensed to practice in * (Not Available) (license number ) 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 1053726984.
Healthcare Provider's Profile
| Full Name | Lisa Smith |
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| Gender | Female |
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| Speciality | Dietitian, Registered |
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| Location | 2130 County Road 309a, Ignacio, Colorado |
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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: 1053726984
- Provider Enumeration Date: 06/30/2014
- Last Update Date: 06/30/2014
Medicare PECOS Information:
- PECOS PAC ID: 0547530305
- Enrollment ID: I20170727000082
Medical Identifiers
Medical identifiers for Lisa Smith such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1053726984 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 133V00000X | Dietitian, Registered | (* (Not Available)) | 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. Lisa Smith allows following entities to bill medicare on her behalf.
| Provider Name | Southern Ute Indian Tribe |
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| Provider Type | Part B Supplier - Clinic/group Practice |
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| Provider Identifiers | NPI Number: 1407883309
PECOS PAC ID: 6800928292
Enrollment ID: O20100721000157 |
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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. Lisa 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 |
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Lisa Smith, RDN
2130 County Road 309a,
Ignacio, CO 81137-9131
Ph: (970) 759-1241 | Lisa Smith, RDN
2130 County Road 309a,
Ignacio, CO 81137-9131
Ph: (970) 759-1241 |
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