Dr Jesse Smotherman, PHD is a medicare enrolled "Psychologist - Clinical" provider in Jefferson, Louisiana. His current practice location is
1514 Jefferson Hwy, Jefferson, Louisiana. You can reach out to his office (for appointments etc.) via phone at
(504) 842-7102.
Dr Jesse Smotherman is licensed to practice in Louisiana (license number 1577PL) 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 1497338453.
Healthcare Provider's Profile
Full Name | Dr Jesse Smotherman |
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Gender | Male |
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Speciality | Psychologist - Clinical |
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Location | 1514 Jefferson Hwy, Jefferson, Louisiana |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1497338453
- Provider Enumeration Date: 04/28/2021
- Last Update Date: 04/28/2021
Medicare PECOS Information:
- PECOS PAC ID: 5395102412
- Enrollment ID: I20230606000758
Medical Identifiers
Medical identifiers for Dr Jesse Smotherman such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1497338453 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
103TC0700X | Psychologist - Clinical | 1577PL (Louisiana) | 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 Jesse Smotherman allows following entities to bill medicare on his behalf.
Entity Name | Neurocognitive Specialty Group Pllc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1346700275 PECOS PAC ID: 9133451297 Enrollment ID: O20230518002862 |
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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 Jesse Smotherman 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 Jesse Smotherman, PHD 121 Stratford Dr, Slidell, LA 70458-1745 Ph: (985) 285-9473 | Dr Jesse Smotherman, PHD 1514 Jefferson Hwy, Jefferson, LA 70121-2429 Ph: (504) 842-7102 |
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