SHEILA D SMITH MD
Accepted Insurance for NPI 1487859708
Psychiatry & Neurology - Neurology in Seattle, WA

Q: What managed care network types are accepted by this provider?

SHEILA D SMITH MD is enrolled across the following managed care network types: EPO, PPO. PPO (Preferred Provider Organization): Provides flexibility to visit out-of-network clinicians without requiring referrals, though seeking care with in-network providers offers lower out-of-pocket costs.EPO (Exclusive Provider Organization): Restricts coverage strictly to network providers except for emergency situations, but generally allows seeking treatment from network specialists without an official referral.

NPI Status: Active since June 18, 2007

Contact Information

515 MINOR AVE
SUITE 210
SEATTLE, WA
ZIP 98104
Phone: (206) 386-9500
Fax: (206) 386-9605

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Accepted Health Plans and Insurance Coverage

This registry outlines the health plan networks and insurance coverage profiles associated with SHEILA D SMITH MD, a practicing psychiatry & neurology professional in Seattle, WA. Compiled from official data resources, this interface is designed to help you determine if your policy is accepted at this practice location. Currently, the provider is listed across 71 individual coverage options managed by medical networks, including networks like Blue Cross and Blue Shield of Montana, PacificSource Health Plans, and Premera Blue Cross Blue Shield of Alaska. Please use the filtering dashboard below to search for your specific plan by name, narrow results by a single carrier corporate network, or toggle between plan types (HMO, PPO, EPO) to check your status before coordinating an upcoming clinic visit.

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Fitler by Network Type

Blue Cross and Blue Shield of Montana

Blue Preferred Bronze PPO? 201

PPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: BLUE-PREFERRED-PPO Tier

Accepted Plan ID Variations

30751MT055004030751MT055004930751MT055005030751MT0550051

Blue Preferred Bronze PPO? 202

PPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: BLUE-PREFERRED-PPO Tier

Accepted Plan ID Variations

30751MT055004130751MT055005230751MT055005330751MT0550054

Blue Preferred Bronze PPO? Standard

PPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: BLUE-PREFERRED-PPO Tier

Accepted Plan ID Variations

30751MT055009230751MT055009330751MT055010030751MT0550101

Blue Preferred Gold PPO? 204

PPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: BLUE-PREFERRED-PPO Tier

Accepted Plan ID Variations

30751MT055003830751MT055004330751MT055004430751MT0550045

Blue Preferred Gold PPO? 901

PPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: BLUE-PREFERRED-PPO Tier

Accepted Plan ID Variations

30751MT055010230751MT055010330751MT055010430751MT0550105

Blue Preferred Gold PPO? Standard

PPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: BLUE-PREFERRED-PPO Tier

Accepted Plan ID Variations

30751MT055008630751MT055008930751MT055009430751MT0550095

Blue Preferred Security PPO? 200

PPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: BLUE-PREFERRED-PPO Tier

Accepted Plan ID Variations

30751MT055004230751MT055005530751MT055005630751MT0550057

Blue Preferred Silver PPO? 203

PPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: BLUE-PREFERRED-PPO Tier

Accepted Plan ID Variations

30751MT055003930751MT055004630751MT055004730751MT0550048

Blue Preferred Silver PPO? 308

PPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: BLUE-PREFERRED-PPO Tier

Accepted Plan ID Variations

30751MT055006130751MT055007130751MT055007230751MT0550073

Blue Preferred Silver PPO? Standard

PPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: BLUE-PREFERRED-PPO Tier

Accepted Plan ID Variations

30751MT055008730751MT055009030751MT055009630751MT0550097

PacificSource Health Plans

Core Bronze HSA 10600

EPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: TIER-ONE Tier

Accepted Plan ID Variations

23603MT0380002

Core Bronze HSA 7500

EPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: TIER-TWO Tier

Accepted Plan ID Variations

10091OR0770002

Core Bronze HSA 8300

EPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: TIER-ONE Tier

Accepted Plan ID Variations

10091OR077000123603MT0380001

Core Gold 1500

EPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: TIER-TWO Tier

Accepted Plan ID Variations

10091OR078000123603MT0380008

Core Gold 3000

EPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: TIER-TWO Tier

Accepted Plan ID Variations

10091OR0780002

Core Silver 3500

EPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: TIER-ONE Tier

Accepted Plan ID Variations

23603MT0380004

Core Silver 4500

EPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: TIER-TWO Tier

Accepted Plan ID Variations

10091OR0770004

Core Silver 5000

EPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: TIER-ONE Tier

Accepted Plan ID Variations

23603MT0380005

Core Silver 7500

EPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: TIER-TWO Tier

Accepted Plan ID Variations

10091OR0770005

Core Standard Expanded Bronze HSA

EPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: TIER-ONE Tier

Accepted Plan ID Variations

23603MT0380003

Core Standard Gold

EPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: TIER-ONE Tier

Accepted Plan ID Variations

23603MT0380009

Core Standard Silver

EPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: TIER-ONE Tier

Accepted Plan ID Variations

23603MT0380006

PacificSource Oregon Standard Bronze HSA Plan Core

EPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: TIER-TWO Tier

Accepted Plan ID Variations

10091OR0770003

PacificSource Oregon Standard Gold Plan Core

EPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: TIER-TWO Tier

Accepted Plan ID Variations

10091OR0770007

PacificSource Oregon Standard Silver Plan Core

EPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: TIER-TWO Tier

Accepted Plan ID Variations

10091OR0770006

Premera Blue Cross Blue Shield of Alaska

Premera Blue Cross Alaska One Gold

PPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: LEGACYANDDENTALSELECT Tier

Accepted Plan ID Variations

38344AK1080001

Premera Blue Cross Preferred Bronze 5800 HSA

PPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: LEGACYANDDENTALSELECT Tier

Accepted Plan ID Variations

38344AK1070002

Premera Blue Cross Preferred Bronze 6350

PPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: LEGACYANDDENTALSELECT Tier

Accepted Plan ID Variations

38344AK1060004

Premera Blue Cross Preferred Gold 1500

PPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: LEGACYANDDENTALSELECT Tier

Accepted Plan ID Variations

38344AK1060001

Premera Blue Cross Preferred Silver 4500

PPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: LEGACYANDDENTALSELECT Tier

Accepted Plan ID Variations

38344AK1060002

Premera Blue Cross Standard Bronze II

PPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: LEGACYANDDENTALSELECT Tier

Accepted Plan ID Variations

38344AK1100004

Premera Blue Cross Standard Gold

PPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: LEGACYANDDENTALSELECT Tier

Accepted Plan ID Variations

38344AK1100001

Premera Blue Cross Standard Silver

PPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: LEGACYANDDENTALSELECT Tier

Accepted Plan ID Variations

38344AK1100002

Premera Blue Cross Family Dental

PPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: DENTALSELECT Tier

Accepted Plan ID Variations

38344AK1110001

Premera Blue Cross Pediatric Dental

PPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: DENTALSELECT Tier

Accepted Plan ID Variations

38344AK1120001

Providence Health Plan

HSA-E Qualified 7500 Bronze - Signature Network

EPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: EPO Tier

Accepted Plan ID Variations

56707OR1430003

Providence Oregon Standard Bronze Plan - Signature Network

EPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: EPO Tier

Accepted Plan ID Variations

56707OR1410003

Providence Oregon Standard Gold Plan - Signature Network

EPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: EPO Tier

Accepted Plan ID Variations

56707OR1350004

Providence Oregon Standard Silver Plan - Signature Network

EPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: EPO Tier

Accepted Plan ID Variations

56707OR1360004

No coverage plans found coordinating with your query criteria.

Coverage Information & FAQs

What insurance does SHEILA D SMITH MD accept?

This provider accepts health insurance plans managed by the following insurance companies: Blue Cross and Blue Shield of Montana, PacificSource Health Plans, Premera Blue Cross Blue Shield of Alaska, Providence Health Plan. You can filter specific policies or search for unique plans using the open dashboard controls located above.

Is this provider enrolled to accept Medicare?

Yes, registry files confirm this provider accepts Medicare assignment, meaning they agree to accept the Medicare-approved amount as full payment for covered services. Additionally, the provider is officially enrolled in the PECOS program (Provider Enrollment, Chain, and Ownership System), verifying that they are certified to order, refer, or prescribe services to Medicare beneficiaries.

What managed care network types are accepted by this provider?

SHEILA D SMITH MD is enrolled across the following managed care network types: EPO, PPO.

PPO (Preferred Provider Organization): Provides flexibility to visit out-of-network clinicians without requiring referrals, though seeking care with in-network providers offers lower out-of-pocket costs.
EPO (Exclusive Provider Organization): Restricts coverage strictly to network providers except for emergency situations, but generally allows seeking treatment from network specialists without an official referral.