Dr Allison Marie Smith, PHD in Salt Lake City, UT - Medicare Psychologist Provider

Dr Allison Marie Smith, PHD is a medicare enrolled "Psychologist - Clinical" provider in Salt Lake City, Utah. Her current practice location is 504 E 800 S Apt 1b, Salt Lake City, Utah. You can reach out to her office (for appointments etc.) via phone at (815) 505-3002.

Dr Allison Marie Smith is licensed to practice in Utah (license number 81680132501) 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 1134566904.

Contact Information

	Dr Allison Marie Smith, PHD
	504 E 800 S Apt 1b, Salt Lake City, UT 84102-3361
	(815) 505-3002
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Dr Allison Marie Smith
Gender	Female
Speciality	Psychologist - Clinical
Location	504 E 800 S Apt 1b, Salt Lake City, Utah
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1134566904
Provider Enumeration Date: 06/03/2013
Last Update Date: 11/17/2021

Medicare PECOS Information:

PECOS PAC ID: 5890922819
Enrollment ID: I20131219001531

Medical Identifiers

Medical identifiers for Dr Allison Marie Smith such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1134566904	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
103TC0700X	Psychologist - Clinical	81680132501 (Utah)	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 Allison Marie Smith allows following entities to bill medicare on her behalf.

Entity Name	University Of Utah Behavioral Health Services
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1740688613 PECOS PAC ID: 9537483607 Enrollment ID: O20150120001118

Entity Name	University Of Utah Adult Services
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1114321981 PECOS PAC ID: 0941525273 Enrollment ID: O20150209001683

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 Allison Marie 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 Allison Marie Smith, PHD 504 E 800 S Apt 1b, Salt Lake City, UT 84102-3361 Ph: (815) 505-3002	Dr Allison Marie Smith, PHD 504 E 800 S Apt 1b, Salt Lake City, UT 84102-3361 Ph: (815) 505-3002

Reviews and Comments

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Dr. Ann H Tyler, PHD Psychologist Medicare: Not Enrolled in Medicare Practice Location: 4505 So Wasatch Blvd, Suite #380, Salt Lake City, UT 84124 Phone: 801-273-7835

Dr Allison Marie Smith, PHD - Medicare Psychologist in Salt Lake City, UT