Evan Clay Smith, DPT in Surprise, AZ - Medicare Physical Therapy Provider

Evan Clay Smith, DPT is a medicare enrolled "Physical Therapist" provider in Surprise, Arizona. He graduated from medical school in 2021 and has 3 years of diverse experience with area of expertise as Physical Therapy. He is a member of the group practice Arizona Luna Care Physical Therapy Llc and his current practice location is 14800 W Mountain View Blvd Ste 260, Surprise, Arizona. You can reach out to his office (for appointments etc.) via phone at (623) 556-5013.

Evan Clay Smith is licensed to practice in Arizona (license number LPT32336) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1619613874.

Contact Information

	Evan Clay Smith, DPT
	14800 W Mountain View Blvd Ste 260, Surprise, AZ 85374-4797
	(623) 556-5013
	(623) 556-9290

Map and Direction

Healthcare Provider's Profile

Full Name	Evan Clay Smith
Gender	Male
Speciality	Physical Therapy
Experience	3 Years
Location	14800 W Mountain View Blvd Ste 260, Surprise, Arizona
Accepts Medicare Assignments	Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Evan Clay Smith graduated from medical school in 2021

NPI Data:

NPI Number: 1619613874
Provider Enumeration Date: 05/10/2022
Last Update Date: 05/15/2023

Medicare PECOS Information:

PECOS PAC ID: 9436538592
Enrollment ID: I20220620001484

Medical Identifiers

Medical identifiers for Evan Clay Smith such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1619613874	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
2251G0304X	Physical Therapist - Geriatrics	LPT32336 (Arizona)	Secondary
2251N0400X	Physical Therapist - Neurology	LPT32336 (Arizona)	Secondary
2251S0007X	Physical Therapist - Sports	LPT32336 (Arizona)	Secondary
225100000X	Physical Therapist	LPT32336 (Arizona)	Primary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Arizona Luna Care Physical Therapy Llc	8325469661	129

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. Evan Clay Smith allows following entities to bill medicare on his behalf.

Provider Name	Northwest Orthopedic & Sports Physical Therapy Llc
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1073610440 PECOS PAC ID: 3870494495 Enrollment ID: O20040116000533

Provider Name	Valley Rehabilitation Of Sun City
Provider Type	Part B Supplier - Physical/occupational Therapy Group In Private Practice
Provider Identifiers	NPI Number: 1942728340 PECOS PAC ID: 0446513436 Enrollment ID: O20180403002809

Provider Name	Arizona Luna Care Physical Therapy Llc
Provider Type	Part B Supplier - Physical/occupational Therapy Group In Private Practice
Provider Identifiers	NPI Number: 1629698147 PECOS PAC ID: 8325469661 Enrollment ID: O20200522000830

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. Evan Clay 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
Evan Clay Smith, DPT 14800 W Mountain View Blvd Ste 260, Surprise, AZ 85374-4797 Ph: (623) 556-5013	Evan Clay Smith, DPT 14800 W Mountain View Blvd Ste 260, Surprise, AZ 85374-4797 Ph: (623) 556-5013

Reviews and Comments

Physical Therapist in Surprise, AZ

Ashley Rubenstein, PT, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 14239 W Bell Rd Ste 104, Surprise, AZ 85374 Phone: 623-600-8333
Dr. Kathleen Nicole Shafer, PT, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 15543 N Reems Rd, Surprise, AZ 85374 Phone: 623-975-5374
Nicholas Russo, Physical Therapist Medicare: Medicare Enrolled Practice Location: 16811 N Litchfield Rd Ste 101, Surprise, AZ 85374 Phone: 602-313-4045 Fax: 623-322-0664
Northwest Orthopedic & Sports Physical Therapy Llc Physical Therapist Medicare: Medicare Enrolled Practice Location: 14800 W Mountain View Blvd Ste 260, Surprise, AZ 85374 Phone: 623-556-5013 Fax: 623-556-9290
Elana Trejo, Physical Therapist Medicare: Medicare Enrolled Practice Location: 13933 W Grand Ave, Surprise, AZ 85374 Phone: 623-474-3952
Arizona Mobile Therapy Llc Physical Therapist Medicare: Medicare Enrolled Practice Location: 15239 W Alexandria Way, Surprise, AZ 85379 Phone: 480-698-6049 Fax: 480-371-2743
Ms. Patricia Ann Graham, P.T. Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 15802 North Parkview Place, Surprise, AZ 85374 Phone: 623-876-7022 Fax: 623-876-7060

Evan Clay Smith, DPT - Medicare Physical Therapist in Surprise, AZ