MONIQUE DASE SMITH M.D.
NPI 1174796247
Psychiatry & Neurology - Psychiatry in Fairbanks, AK

Q: What is Monique Smith's NPI number?

The NPI number for Monique Smith is 1174796247. It was assigned to this individual provider in the NPPES registry on April 9, 2008. The provider is also known as Monique Chantrell Dase M.D..

Q: What is Monique Smith's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Psychiatry, with taxonomy code 2084P0800X.

Q: When was this NPI record last updated?

The NPPES record for Monique Smith was last updated on May 18, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since April 09, 2008PECOS EnrolledAccepts Medicare Assignment

1717 W COWLES ST, FAIRBANKS, AK 99701(907) 459-3800 Get Directions Write a Review

NPPES record last updated: May 18, 2022. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: May 18, 2022, Jun 21, 2021 (2 updates tracked since 2021).

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About Monique Dase Smith M.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MONIQUE DASE SMITH M.D. (NPI 1174796247) is an individual psychiatry provider in Fairbanks, Alaska, licensed in Alaska (7667) and active in the NPI registry since April 2008. She is enrolled in Medicare PECOS and is a graduate of Morehouse School Of Medicine (2008).

NPPES Registry Identity

NPI1174796247

Entity TypeIndividualFemale

Primary Taxonomy2084P0800X

Provider Legal NameMONIQUE DASE SMITHCredential: M.D.

Location Address1717 W COWLES STFairbanks, AK 99701-5926

Mailing Address122 1st Ave Ste 400Fairbanks, AK 99701-4871 · (907) 459-3800

Phone(907) 459-3800

Sole ProprietorNo

Medical School CMSMorehouse School Of MedicineGraduated 2008

Enumeration DateApril 9, 2008

Last NPPES UpdateMay 18, 20222 updates tracked since enumeration

NPPES CertifiedMay 18, 2022

✔ NPI 1174796247 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPsychiatry & Neurology · PsychiatryAllopathic & Osteopathic Physicians

Taxonomy Code2084P0800X

Licenses✔ Licensed in AK · 7667✔ Licensed in TN · MD0000048750

Definition

A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems.

Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X

1717 W COWLES ST, Fairbanks, AK 99701

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Other Names 1

Former Name (1)Monique Chantrell Dase M.d.

Other Identifiers 1

Medicaid1600801AK

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Moda Health Plan, Inc., Premera Blue Cross Blue Shield of Alaska.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Monique Dase Smith M.d. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID1557591286

PECOS Enrollment IDI20210628001657

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims 2

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213

This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.

56 services13 patients

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214

This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.

30 services13 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 99701 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$222.64 typical visit price

range $71.33 – $222.64

Typical copayment $55.66 (range $17.83 – $55.66)

Most-billed visit code 99205

Established Patient

$90.40 typical visit price

range $21.84 – $181.48

Typical copayment $22.60 (range $5.46 – $45.37)

Most-billed visit code 99213

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

ANNE BURTNESS

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