Mr Chadwycke Richard Smith, NP, AGACNP-BC in Los Angeles, CA

Mr Chadwycke Richard Smith, NP, AGACNP-BC is a medicare enrolled "Nurse Practitioner - Acute Care" in Los Angeles, California. His current practice location is 1520 San Pablo St Ste 3800, Los Angeles, California. You can reach out to his office (for appointments etc.) via phone at (323) 442-5720.

Mr Chadwycke Richard Smith is licensed to practice in California (license number 95009361) 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 1902387293.

Contact Information

	Mr Chadwycke Richard Smith, NP, AGACNP-BC
	1520 San Pablo St Ste 3800, Los Angeles, CA 90033-5328
	(323) 442-5720
	Not Available

Map and Direction

Provider's Profile

Full Name	Mr Chadwycke Richard Smith
Gender	Male
Speciality	Nurse Practitioner - Acute Care
Location	1520 San Pablo St Ste 3800, Los Angeles, California
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1902387293
Provider Enumeration Date: 08/24/2018
Last Update Date: 09/04/2024

Medicare PECOS Information:

PECOS PAC ID: 7618219924
Enrollment ID: I20220804002064

Medical Identifiers

Medical identifiers for Mr Chadwycke Richard Smith such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1902387293	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LA2200X	Nurse Practitioner - Adult Health	841328 (Nevada)	Secondary
363LG0600X	Nurse Practitioner - Gerontology	841328 (Nevada)	Secondary
363LA2100X	Nurse Practitioner - Acute Care	95009361 (California)	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 Chadwycke Richard Smith allows following entities to bill medicare on his behalf.

Entity Name	Ellis Bandt Birkin Kollins & Wong Pllc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1578584678 PECOS PAC ID: 4486568946 Enrollment ID: O20031118000697

Entity Name	Shelin Agrawal And Hyer Pllc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1861783961 PECOS PAC ID: 5890955959 Enrollment ID: O20120327000625

Entity Name	Dignity Health
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1720358039 PECOS PAC ID: 2062320559 Enrollment ID: O20121008000152

Entity Name	Dignity Health Medical Group Nevada Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1376805416 PECOS PAC ID: 1254571896 Enrollment ID: O20130703000051

Entity Name	Sound Intensivists Of Nevada Rbessler Md Pllc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1841728417 PECOS PAC ID: 4789953050 Enrollment ID: O20170629000696

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 Chadwycke Richard 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
Mr Chadwycke Richard Smith, NP, AGACNP-BC Po Box 31309, Los Angeles, CA 90031-0309 Ph: (323) 442-5720	Mr Chadwycke Richard Smith, NP, AGACNP-BC 1520 San Pablo St Ste 3800, Los Angeles, CA 90033-5328 Ph: (323) 442-5720

Reviews and Comments

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Mr Chadwycke Richard Smith, NP, AGACNP-BC - Medicare Nurse Practitioner in Los Angeles, CA