Dr Shelby Karoline Smith, PSYD in Walnut Creek, CA

Dr Shelby Karoline Smith, PSYD is a medicare enrolled "Psychologist - Addiction (substance Use Disorder)" provider in Walnut Creek, California. Her current practice location is 710 S Broadway Ste 300, Walnut Creek, California. You can reach out to her office (for appointments etc.) via phone at (925) 295-2960.

Dr Shelby Karoline Smith is licensed to practice in California (license number 27912) 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 1225581804.

Contact Information

	Dr Shelby Karoline Smith, PSYD
	710 S Broadway Ste 300, Walnut Creek, CA 94596-5229
	(925) 295-2960
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Dr Shelby Karoline Smith
Gender	Female
Speciality	Psychologist - Addiction (substance Use Disorder)
Location	710 S Broadway Ste 300, Walnut Creek, California
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1225581804
Provider Enumeration Date: 07/29/2016
Last Update Date: 02/11/2022

Medicare PECOS Information:

PECOS PAC ID: 3779871702
Enrollment ID: I20161006002355

Medical Identifiers

Medical identifiers for Dr Shelby Karoline Smith such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1225581804	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
103TA0400X	Psychologist - Addiction (substance Use Disorder)	27912 (California)	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 Shelby Karoline Smith allows following entities to bill medicare on her behalf.

Entity Name	Permanente Medical Group Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1073606299 PECOS PAC ID: 8921910225 Enrollment ID: O20031104000710

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 Shelby Karoline 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 Shelby Karoline Smith, PSYD 710 S Broadway Ste 300, Walnut Creek, CA 94596-5229 Ph: (925) 295-2960	Dr Shelby Karoline Smith, PSYD 710 S Broadway Ste 300, Walnut Creek, CA 94596-5229 Ph: (925) 295-2960

Reviews and Comments

Psychologist in Walnut Creek, CA

Howard P Rome Jr., PHD Psychologist Medicare: Accepting Medicare Assignments Practice Location: 450 N Wiget Ln, Walnut Creek, CA 94598 Phone: 925-482-8111 Fax: 925-482-1166
Jorge Bell, Psychologist Medicare: Not Enrolled in Medicare Practice Location: 313 Lennon Ln Ste 100, Walnut Creek, CA 94598 Phone: 925-289-1090 Fax: 925-289-1239
Dr. Darrell Ray Christian, PH.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 2950 Camino Diablo, Suite 120, Walnut Creek, CA 94597 Phone: 925-935-8646 Fax: 925-935-8646
Dr. Susan K. Faron, PH.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 1280 Boulevard Way Ste 206, Walnut Creek, CA 94595 Phone: 925-932-2090
Katrina Domingo, PSY.D. Psychologist Medicare: Medicare Enrolled Practice Location: 710 S Broadway, Suite #209, Walnut Creek, CA 94596 Phone: 925-295-4901
Zeinab Mossadeghi, Psychologist Medicare: May Accept Medicare Assignments Practice Location: 1910 Olympic Blvd Ste 220, Walnut Creek, CA 94596 Phone: 310-773-7013
Ms. Rhonda Yvonne Fugazi, LMFT, LEP Psychologist Medicare: Not Enrolled in Medicare Practice Location: 43 Quail Court Suite 211, Walnut Creek, CA 94596 Phone: 925-297-5234

Dr Shelby Karoline Smith, PSYD - Medicare Psychologist in Walnut Creek, CA