Dr Stephen C Smith, MA, PSYD - Medicare Psychologist in Kingsport, TN

Dr Stephen C Smith, MA, PSYD is a medicare enrolled "Psychologist - Clinical" provider in Kingsport, Tennessee. He went to Wright State University Boonshoft School Of Medicine and graduated in 2004 and has 20 years of diverse experience with area of expertise as Clinical Psychologist. He is a member of the group practice Ipc Pac Healthcare Services Of Tennessee Pc and his current practice location is 2035 E Stonebrook Pl, Kingsport, Tennessee. You can reach out to his office (for appointments etc.) via phone at (423) 282-1480.

Dr Stephen C Smith is licensed to practice in Tennessee (license number 2783) 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 1891876819.

Contact Information

Dr Stephen C Smith, MA, PSYD
2035 E Stonebrook Pl,
Kingsport, TN 37660-4000
(423) 282-1480
(423) 928-1353



Healthcare Provider's Profile

Full NameDr Stephen C Smith
GenderMale
SpecialityClinical Psychologist
Experience20 Years
Location2035 E Stonebrook Pl, Kingsport, Tennessee
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Dr Stephen C Smith attended and graduated from Wright State University Boonshoft School Of Medicine in 2004
  NPI Data:
  • NPI Number: 1891876819
  • Provider Enumeration Date: 10/17/2006
  • Last Update Date: 03/17/2018
  Medicare PECOS Information:
  • PECOS PAC ID: 5395882674
  • Enrollment ID: I20091019000276

Medical Identifiers

Medical identifiers for Dr Stephen C Smith such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1891876819NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
103TC0700XPsychologist - Clinical 2783 (Tennessee)Primary

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Ipc Pac Healthcare Services Of Tennessee Pc084058757264

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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 Stephen C Smith allows following entities to bill medicare on his behalf.
Entity NameSoutheastern Physician Services Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1083835441
PECOS PAC ID: 0042307852
Enrollment ID: O20071025000571

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Entity NameIpc Pac Healthcare Services Of Tennessee Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1104277656
PECOS PAC ID: 0840587572
Enrollment ID: O20160928000541

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Entity NameNv Pacs 2 Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1427534809
PECOS PAC ID: 0941550578
Enrollment ID: O20210903001263

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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 Stephen C 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 Stephen C Smith, MA, PSYD
Po Box 4018,
Johnson City, TN 37602-4018

Ph: (423) 282-1480
Dr Stephen C Smith, MA, PSYD
2035 E Stonebrook Pl,
Kingsport, TN 37660-4000

Ph: (423) 282-1480

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Psychologist in Kingsport, TN

Dr. Rebecca Carolyn Otwell-dove, PHD
Psychologist
Medicare: Not Enrolled in Medicare
Practice Location: 2002 Brookside Dr Ste 200, Kingsport, TN 37660
Phone: 423-530-7970    
Mrs. Elizabeth Ann Jones, MA
Psychologist
Medicare: Not Enrolled in Medicare
Practice Location: 2001 Stonebrook Pl, Assessment And Forensic Services, Kingsport, TN 37660
Phone: 423-224-1318    Fax: 423-224-1328
Ladonna Selby Carey, MA
Psychologist
Medicare: Not Enrolled in Medicare
Practice Location: 1201 N Eastman Rd, Ste 122, Kingsport, TN 37664
Phone: 423-230-0909    Fax: 423-357-7755
Mr. Michael Wayne Miller, LPE
Psychologist
Medicare: Not Enrolled in Medicare
Practice Location: 1570 Waverly Rd, Kingsport, TN 37664
Phone: 423-224-1300    Fax: 423-224-1375
Julia Wallin Culligan, PH.D.
Psychologist
Medicare: Not Enrolled in Medicare
Practice Location: 1244 Catawba St, Kingsport, TN 37660
Phone: 423-857-5571    Fax: 423-857-5237
Mr. Jorge Federico Fuchs, MA SPF
Psychologist
Medicare: Not Enrolled in Medicare
Practice Location: 2001 Stonebrook Place, Kingsport, TN 37660
Phone: 423-224-1318    Fax: 423-224-1328
Dr. Natasha Benfield Gouge, PHD
Psychologist
Medicare: Not Enrolled in Medicare
Practice Location: 2002 Brookside Dr, Suite 200, Kingsport, TN 37660
Phone: 423-224-3933    Fax: 423-224-3934

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