Dr Peter Norman Smith, PSYD is a medicare enrolled "Psychologist - Prescribing (medical)" provider in Santa Teresa, New Mexico. He graduated from medical school in 1984 and has 40 years of diverse experience with area of expertise as Clinical Psychologist. He is a member of the group practice Buen Salud Inc and his current practice location is
101 Livingston Loop Ste 1, Santa Teresa, New Mexico. You can reach out to his office (for appointments etc.) via phone at
(505) 506-2546.
Dr Peter Norman Smith is licensed to practice in New Mexico (license number PSY-RXP0053) 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 1508061169.
Healthcare Provider's Profile
| Full Name | Dr Peter Norman Smith |
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| Gender | Male |
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| Speciality | Clinical Psychologist |
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| Experience | 40 Years |
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| Location | 101 Livingston Loop Ste 1, Santa Teresa, New Mexico |
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| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Dr Peter Norman Smith graduated from medical school in 1984
NPI Data:
- NPI Number: 1508061169
- Provider Enumeration Date: 06/15/2007
- Last Update Date: 03/07/2023
Medicare PECOS Information:
- PECOS PAC ID: 2567480965
- Enrollment ID: I20150116001148
Medical Identifiers
Medical identifiers for Dr Peter Norman Smith such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1508061169 | NPI | - | NPPES |
| 4320 | Other | AZ | BCIA-C |
| 612352100 | Other | AZ | DOL FECA |
| 22639560 | Medicaid | NM | |
| E-1463 | Other | AZ | BCIAC-EEG |
| 1290 | Other | NM | NM PSYCHOLOGIST |
| PSY-RXP0053 | Other | NM | STATE OF NEW MEXICO BOARD OF PSYCHOLOGIST EXAMINERS |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 103TC0700X | Psychologist - Clinical | 1290 (New Mexico) | Secondary |
| 103TP0016X | Psychologist - Prescribing (medical) | 0039C (New Mexico) | Secondary |
| 103TP0016X | Psychologist - Prescribing (medical) | PSY-RXP0053 (New Mexico) | Primary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|
| Buen Salud Inc | 9931337060 | 3 |
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 Peter Norman Smith allows following entities to bill medicare on his behalf.
| Entity Name | Buen Salud Inc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1275858490
PECOS PAC ID: 9931337060
Enrollment ID: O20140116000818 |
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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 Peter Norman 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 Peter Norman Smith, PSYD
60 Beach St,
South Portland, ME 04106-1607
Ph: (505) 506-2546 | Dr Peter Norman Smith, PSYD
101 Livingston Loop Ste 1,
Santa Teresa, NM 88008-9753
Ph: (505) 506-2546 |
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