Ms Samantha Jean Smith, RD - Medicare Dietitian in Kayenta, AZ

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Ms Samantha Jean Smith, RD is a medicare enrolled "Dietitian, Registered" provider in Kayenta, Arizona. Her current practice location is Po Box 368, Kayenta, Arizona. You can reach out to her office (for appointments etc.) via phone at (928) 697-4000.

Ms Samantha Jean Smith is licensed to practice in Arizona (license number 00945082) 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 1972604635.

Contact Information

Ms Samantha Jean Smith, RD
Po Box 368,
Kayenta, AZ 86033-0368
(928) 697-4000
(928) 697-4145

Map and Direction




Healthcare Provider's Profile

Full NameMs Samantha Jean Smith
GenderFemale
SpecialityDietitian, Registered
LocationPo Box 368, Kayenta, Arizona
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1972604635
  • Provider Enumeration Date: 09/26/2006
  • Last Update Date: 06/20/2017
  Medicare PECOS Information:
  • PECOS PAC ID: 3072616242
  • Enrollment ID: I20070307000642

Medical Identifiers

Medical identifiers for Ms Samantha Jean Smith such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1972604635NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
133V00000XDietitian, Registered 00945082 (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. Ms Samantha Jean Smith allows following entities to bill medicare on her behalf.
Provider NameDhhs Phs Naihs Chinle Comprehensive Health Care Facility
Provider TypePart B Supplier - Clinic/group Practice
Provider IdentifiersNPI Number: 1508800129
PECOS PAC ID: 9436062585
Enrollment ID: O20031106000210

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. Ms Samantha Jean 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 AddressPractice Location Address
Ms Samantha Jean Smith, RD
Hwy 160 M.p. 394.3, Po Box 3247,
Kayenta, AZ 86033-3247

Ph: (928) 697-4210		Ms Samantha Jean Smith, RD
Po Box 368,
Kayenta, AZ 86033-0368

Ph: (928) 697-4000

Reviews and Comments


Dietitian, Registered in Kayenta, AZ

Mr. Kwang Kim, RD
Dietitian
Medicare: Not Enrolled in Medicare
Practice Location: Kayenta Phs Health Clinic, Hwy 160 And 163, Kayenta, AZ 86033
Phone: 928-697-4000    Fax: 928-697-4145
Natasha Dawn Bordeaux,
Dietitian
Medicare: Medicare Enrolled
Practice Location: Hwy 160 Mp 394.3, Kayenta, AZ 86033
Phone: 928-697-4000    

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.