Jacquelyn J Smith, PHD in Milwaukee, WI - Medicare Psychologist Provider

Jacquelyn J Smith, PHD is a medicare enrolled "Psychologist" provider in Milwaukee, Wisconsin. Her current practice location is 9000 W Wisconsin Ave, B510, Milwaukee, Wisconsin. You can reach out to her office (for appointments etc.) via phone at (414) 266-2932.

Jacquelyn J Smith is licensed to practice in Wisconsin (license number 3053-57) 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 1346509510.

Contact Information

	Jacquelyn J Smith, PHD
	9000 W Wisconsin Ave, B510, Milwaukee, WI 53226-4874
	(414) 266-2932
	(414) 266-3735

Map and Direction

Healthcare Provider's Profile

Full Name	Jacquelyn J Smith
Gender	Female
Speciality	Psychologist
Location	9000 W Wisconsin Ave, Milwaukee, Wisconsin
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1346509510
Provider Enumeration Date: 05/09/2012
Last Update Date: 01/04/2021

Medicare PECOS Information:

PECOS PAC ID: 7113145434
Enrollment ID: I20140828001828

Medical Identifiers

Medical identifiers for Jacquelyn J Smith such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1346509510	NPI	-	NPPES
1346509510	Medicaid	WI

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
103T00000X	Psychologist	3053-57 (Wisconsin)	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. Jacquelyn J Smith allows following entities to bill medicare on her behalf.

Entity Name	The Medical College Of Wisconsin Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1699720086 PECOS PAC ID: 2668384371 Enrollment ID: O20031120000259

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. Jacquelyn J 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
Jacquelyn J Smith, PHD 9000 W Wisconsin Ave, B510, Milwaukee, WI 53226-4874 Ph: (414) 266-2932	Jacquelyn J Smith, PHD 9000 W Wisconsin Ave, B510, Milwaukee, WI 53226-4874 Ph: (414) 266-2932

Reviews and Comments

Psychologist in Milwaukee, WI

Dr. Donald Raymond Hands, PH.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 6500 N Elm Tree Rd, Milwaukee, WI 53217 Phone: 262-617-8574
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Dr. Michael Dimarco Jr., PSY.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 1155 N Mayfair Rd, Third Floor, Milwaukee, WI 53226 Phone: 414-955-8900 Fax: 414-955-6285
Alissa M Butts, PHD Psychologist Medicare: Accepting Medicare Assignments Practice Location: 9200 W Wisconsin Ave, Milwaukee, WI 53226 Phone: 414-805-5660
Dr. Lari Mikel Meyer, PH.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 1219 N Cass St, Milwaukee, WI 53202 Phone: 414-291-9487
Dr. David Baruch, Psychologist Medicare: Not Enrolled in Medicare Practice Location: 5000 W National Ave, Building 43, Milwaukee, WI 53295 Phone: 414-384-2000

Jacquelyn J Smith, PHD - Medicare Psychologist in Milwaukee, WI