Kelly Smith, PT in Centreville, VA - Medicare Physical Therapist Provider

Kelly Smith, PT is a medicare enrolled "Physical Therapist" provider in Centreville, Virginia. Her current practice location is 14631 Lee Hwy, Suite 310, Centreville, Virginia. You can reach out to her office (for appointments etc.) via phone at (703) 222-5903.

Kelly Smith is licensed to practice in Virginia (license number 2305206672) 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 1710288840.

Contact Information

	Kelly Smith, PT
	14631 Lee Hwy, Suite 310, Centreville, VA 20121-5824
	(703) 222-5903
	(703) 222-3765

Map and Direction

Healthcare Provider's Profile

Full Name	Kelly Smith
Gender	Female
Speciality	Physical Therapist
Location	14631 Lee Hwy, Centreville, Virginia
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1710288840
Provider Enumeration Date: 11/05/2010
Last Update Date: 12/29/2016

Medicare PECOS Information:

PECOS PAC ID: 9335594266
Enrollment ID: I20231012003902

Medical Identifiers

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

Identifier	Type	State	Issuer
1710288840	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
225100000X	Physical Therapist	2305206672 (Virginia)	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. Kelly Smith allows following entities to bill medicare on her behalf.

Provider Name	Virginia Luna Care Physical Therapy Llc
Provider Type	Part B Supplier - Physical/occupational Therapy Group In Private Practice
Provider Identifiers	NPI Number: 1235720848 PECOS PAC ID: 0941615405 Enrollment ID: O20210215000240

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. Kelly 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
Kelly Smith, PT 14631 Lee Highway, Suite 310, Centreville, VA 20121 Ph: (703) 222-5903	Kelly Smith, PT 14631 Lee Hwy, Suite 310, Centreville, VA 20121-5824 Ph: (703) 222-5903

Reviews and Comments

Physical Therapist in Centreville, VA

Paul Frizelle, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 13890 Braddock Rd, Suite 102, Centreville, VA 20121 Phone: 703-830-6360 Fax: 703-830-6362
Step By Step Pediatric Therapy Services, Inc. Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 14527 Picket Oaks Rd, Centreville, VA 20121 Phone: 703-222-2421 Fax: 703-222-2421
Annie Golovcsenko, PT, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 13890 Braddock Rd Ste 207, Centreville, VA 20121 Phone: 540-720-2261 Fax: 540-720-5660
Carol Govoni, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 14631 Lee Hwy, Suite 310, Centreville, VA 20121 Phone: 703-222-5903 Fax: 703-222-3765
Sofia T Corpuz, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 6325 Multiplex Dr, Centreville, VA 20121 Phone: 571-932-3470
J And R Advisers Llc Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 5829 Stream Pond Ct, Centreville, VA 20120 Phone: 703-910-5006 Fax: 888-314-6706
Vidhi Patel, DPT, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 6201 Centreville Rd Ste 500, Centreville, VA 20121 Phone: 703-263-2095

Kelly Smith, PT - Medicare Physical Therapist in Centreville, VA