Dr Kaitlin Smith, PHD is a medicare enrolled "Clinical Neuropsychologist" provider in Tonawanda, New York. Her current practice location is
884 Brighton Rd, Tonawanda, New York. You can reach out to her office (for appointments etc.) via phone at
(716) 836-9460.
Dr Kaitlin Smith is licensed to practice in New York (license number 024325-01) 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 1043688740.
Healthcare Provider's Profile
Full Name | Dr Kaitlin Smith |
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Gender | Female |
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Speciality | Clinical Neuropsychologist |
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Location | 884 Brighton Rd, Tonawanda, New York |
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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: 1043688740
- Provider Enumeration Date: 09/11/2015
- Last Update Date: 02/01/2023
Medicare PECOS Information:
- PECOS PAC ID: 7113399601
- Enrollment ID: I20230209001389
Medical Identifiers
Medical identifiers for Dr Kaitlin Smith such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1043688740 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
103TC0700X | Psychologist - Clinical | 024326 (New York) | Secondary |
103G00000X | Clinical Neuropsychologist | 024325-01 (New York) | 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 Kaitlin Smith allows following entities to bill medicare on her behalf.
Entity Name | State Of New York Comptrollers Office |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1750469912 PECOS PAC ID: 0840101770 Enrollment ID: O20190313000800 |
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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 Kaitlin 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 Kaitlin Smith, PHD 884 Brighton Rd, Tonawanda, NY 14150-8169 Ph: (716) 836-9460 | Dr Kaitlin Smith, PHD 884 Brighton Rd, Tonawanda, NY 14150-8169 Ph: (716) 836-9460 |
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