Dr Clarisa Idalia Smith, MD - Medicare Pediatrics in Prescott Valley, AZ

Dr Clarisa Idalia Smith, MD is a medicare enrolled "Pediatrics" physician in Prescott Valley, Arizona. Her current practice location is 3001 Main St, Suite 1c, Prescott Valley, Arizona. You can reach out to her office (for appointments etc.) via phone at (928) 458-5470.

Dr Clarisa Idalia Smith is licensed to practice in Arizona (license number 35537) 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 1699845180.

Contact Information

Dr Clarisa Idalia Smith, MD
3001 Main St, Suite 1c,
Prescott Valley, AZ 86314-2284
(928) 458-5470
(928) 458-5979



Physician's Profile

Full NameDr Clarisa Idalia Smith
GenderFemale
SpecialityPediatrics
Location3001 Main St, Prescott Valley, Arizona
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1699845180
  • Provider Enumeration Date: 11/09/2006
  • Last Update Date: 06/16/2020
  Medicare PECOS Information:
  • PECOS PAC ID: 2860626637
  • Enrollment ID: I20131009002280

Medical Identifiers

Medical identifiers for Dr Clarisa Idalia Smith such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1699845180NPI-NPPES
624951MedicaidAZ

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
208000000XPediatrics 35537 (Arizona)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 Clarisa Idalia Smith allows following entities to bill medicare on her behalf.
Entity NameClarisa I. Smith, Md Pllc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1609211291
PECOS PAC ID: 1951535723
Enrollment ID: O20131009002279

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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 Clarisa Idalia 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 AddressPractice Location Address
Dr Clarisa Idalia Smith, MD
3001 Main St, Suite 1c,
Prescott Valley, AZ 86314-2284

Ph: (928) 458-5470
Dr Clarisa Idalia Smith, MD
3001 Main St, Suite 1c,
Prescott Valley, AZ 86314-2284

Ph: (928) 458-5470

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Pediatrics Doctors in Prescott Valley, AZ

Meagan Elizabeth Coomer, NP
Pediatrics
Medicare: Medicare Enrolled
Practice Location: 3001 N Main St Ste 1c, Prescott Valley, AZ 86314
Phone: 928-458-5470    Fax: 928-458-5979
Dr. Harold Martin Maller, MD
Pediatrics
Medicare: Not Enrolled in Medicare
Practice Location: 3212 N Windsong Dr Ste 200, Prescott Valley, AZ 86314
Phone: 928-583-1000    Fax: 866-751-4157
Shelly Fay Klein, MD
Pediatrics
Medicare: Not Enrolled in Medicare
Practice Location: 7875 E Florentine Rd, Suite A, Prescott Valley, AZ 86314
Phone: 928-443-5599    Fax: 928-443-5376
Chelsey Earnhart, DNP, CPNP-PC
Pediatrics
Medicare: Medicare Enrolled
Practice Location: 7875 E Florentine Rd Ste A, Prescott Valley, AZ 86314
Phone: 928-443-5599    Fax: 928-443-5376

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