Dr Kolter Lee Smith, PMHNP-BD in Phoenix, AZ - Medicare Nurse Practitioner

Dr Kolter Lee Smith, PMHNP-BD is a medicare enrolled "Nurse Practitioner - Psychiatric/mental Health" in Phoenix, Arizona. His current practice location is 4107 E Wildwood Dr, Phoenix, Arizona. You can reach out to his office (for appointments etc.) via phone at (928) 242-5716.

Dr Kolter Lee Smith is licensed to practice in Arizona (license number 279313) 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 1063130227.

Contact Information

	Dr Kolter Lee Smith, PMHNP-BD
	4107 E Wildwood Dr, Phoenix, AZ 85048-8850
	(928) 242-5716
	Not Available

Map and Direction

Provider's Profile

Full Name	Dr Kolter Lee Smith
Gender	Male
Speciality	Nurse Practitioner - Psychiatric/mental Health
Location	4107 E Wildwood Dr, Phoenix, Arizona
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1063130227
Provider Enumeration Date: 08/15/2022
Last Update Date: 08/15/2022

Medicare PECOS Information:

PECOS PAC ID: 1951778117
Enrollment ID: I20221101003057

Medical Identifiers

Medical identifiers for Dr Kolter Lee Smith such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1063130227	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LP0808X	Nurse Practitioner - Psychiatric/mental Health	279313 (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. Dr Kolter Lee Smith allows following entities to bill medicare on his behalf.

Entity Name	East Valley Psychiatry Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1992240857 PECOS PAC ID: 1355626565 Enrollment ID: O20170329002371

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. Dr Kolter Lee 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
Dr Kolter Lee Smith, PMHNP-BD 4107 E Wildwood Dr, Phoenix, AZ 85048-8850 Ph: (928) 242-5716	Dr Kolter Lee Smith, PMHNP-BD 4107 E Wildwood Dr, Phoenix, AZ 85048-8850 Ph: (928) 242-5716

Reviews and Comments

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Dr Kolter Lee Smith, PMHNP-BD - Medicare Nurse Practitioner in Phoenix, AZ