Stephanie Smith Boyles, LCSW in Kingsport, TN - Medicare Social Worker Provider

Stephanie Smith Boyles, LCSW is a medicare enrolled "Social Worker - Clinical" provider in Kingsport, Tennessee. Her current practice location is 605 Watauga St, Kingsport, Tennessee. You can reach out to her office (for appointments etc.) via phone at (844) 215-0811.

Stephanie Smith Boyles is licensed to practice in Virginia (license number 0904015499) 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 1255099156.

Contact Information

	Stephanie Smith Boyles, LCSW
	605 Watauga St, Kingsport, TN 37660-4447
	(844) 215-0811
	(888) 395-1262

Healthcare Provider's Profile

Full Name	Stephanie Smith Boyles
Gender	Female
Speciality	Social Worker - Clinical
Location	605 Watauga St, Kingsport, Tennessee
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1255099156
Provider Enumeration Date: 12/08/2021
Last Update Date: 07/04/2023

Medicare PECOS Information:

PECOS PAC ID: 3870956741
Enrollment ID: I20230824002337

Medical Identifiers

Medical identifiers for Stephanie Smith Boyles such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1255099156	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
1041C0700X	Social Worker - Clinical	8676 (Tennessee)	Secondary
1041C0700X	Social Worker - Clinical	0904015499 (Virginia)	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. Stephanie Smith Boyles allows following entities to bill medicare on her behalf.

Entity Name	Supportive Care Of Maryland Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1447802616 PECOS PAC ID: 9234460999 Enrollment ID: O20191010000282

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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. Stephanie Smith Boyles 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
Stephanie Smith Boyles, LCSW 605 Watauga St, Kingsport, TN 37660-4447 Ph: (844) 215-0811	Stephanie Smith Boyles, LCSW 605 Watauga St, Kingsport, TN 37660-4447 Ph: (844) 215-0811

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Social Worker in Kingsport, TN

Leonard Williams, LCSW, LMSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 2991 Fort Henry Dr, Kingsport, TN 37664 Phone: 423-392-2975
Matthew Andrews, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1570 Waverly Rd, Kingsport, TN 37664 Phone: 423-224-1300 Fax: 423-467-3644
Betty Jo Miller, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 2300 Pavilion Dr, Kingsport, TN 37660 Phone: 423-857-5571 Fax: 423-857-5237
Cherub Seargeant, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1326 E Windsor St, Kingsport, TN 37660 Phone: 865-617-1086
Mrs. Cynthia Dawn Ketron, LCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 3218 Dutchess Dr, Kingsport, TN 37663 Phone: 423-239-5912
Clarissa Abbott, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 605 Watauga St, Kingsport, TN 37660 Phone: 844-215-0811

Stephanie Smith Boyles, LCSW - Medicare Clinical Social Worker in Kingsport, TN

Contact Information

Healthcare Provider's Profile

Medical Identifiers

Medical Taxonomies and Licenses

Medicare Reassignments

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Medicare Part D Prescriber Enrollment

Mailing Address and Practice Location

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Social Worker in Kingsport, TN