Clasina Leslie Smith, MD in Chicago, IL - Medicare General Practice

Clasina Leslie Smith, MD is a medicare enrolled "General Practice" physician in Chicago, Illinois. Her current practice location is 4753 N Broadway St, Suite 910, Chicago, Illinois. You can reach out to her office (for appointments etc.) via phone at (773) 609-3520.

Clasina Leslie Smith is licensed to practice in Illinois (license number 036.124367) 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 1437342433.

Contact Information

	Clasina Leslie Smith, MD
	4753 N Broadway St, Suite 910, Chicago, IL 60640-5266
	(773) 609-3520
	Not Available

Map and Direction

Physician's Profile

Full Name	Clasina Leslie Smith
Gender	Female
Speciality	General Practice
Location	4753 N Broadway St, Chicago, Illinois
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1437342433
Provider Enumeration Date: 08/22/2007
Last Update Date: 12/07/2020

Medicare PECOS Information:

PECOS PAC ID: 0840456745
Enrollment ID: I20120720000508

Medical Identifiers

Medical identifiers for Clasina Leslie Smith such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1437342433	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
208D00000X	General Practice	A118378 (California)	Secondary
207Q00000X	Family Medicine	036.124367 (Illinois)	Secondary
208D00000X	General Practice	036.124367 (Illinois)	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. Clasina Leslie Smith allows following entities to bill medicare on her behalf.

Entity Name	Board Of Trustees Of Southern Illinois University
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1396097960 PECOS PAC ID: 4486667888 Enrollment ID: O20130424001019

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. Clasina Leslie 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
Clasina Leslie Smith, MD 5312 N Winthrop Ave, Apt 1n, Chicago, IL 60640-2389 Ph: (773) 350-2725	Clasina Leslie Smith, MD 4753 N Broadway St, Suite 910, Chicago, IL 60640-5266 Ph: (773) 609-3520

Reviews and Comments

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Clasina Leslie Smith, MD - Medicare General Practice in Chicago, IL