Patrick Kelly Smith, PAC is a medicare enrolled "Physician Assistant" physician in Lynnwood, Washington. He graduated from medical school in 2003 and has 21 years of diverse experience with area of expertise as Physician Assistant. He is a member of the group practice Kaiser Foundation Health Plan Of Washington and his current practice location is
20200 54th Ave W, Lynnwood, Washington. You can reach out to his office (for appointments etc.) via phone at
(425) 672-6400.
Patrick Kelly Smith is licensed to practice in Washington (license number PA60940050) 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 1124016951.
Physician's Profile
| Full Name | Patrick Kelly Smith |
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| Gender | Male |
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| Speciality | Physician Assistant |
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| Experience | 21 Years |
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| Location | 20200 54th Ave W, Lynnwood, Washington |
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| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Patrick Kelly Smith graduated from medical school in 2003
NPI Data:
- NPI Number: 1124016951
- Provider Enumeration Date: 10/06/2005
- Last Update Date: 05/05/2021
Medicare PECOS Information:
- PECOS PAC ID: 3476448192
- Enrollment ID: I20190627001126
Medical Identifiers
Medical identifiers for Patrick Kelly Smith such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1124016951 | NPI | - | NPPES |
| 142901 | Other | | GREAT LAKES HEALTH PLAN |
| 381908328 | Other | | TRICARE |
| 201 | Other | MI | COMMUNITY CHOICE OF MI |
| 3381330 | Other | MI | MOLINA HEALTH CARE |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 207P00000X | Emergency Medicine | 5601004116 (Michigan) | Secondary |
| 363A00000X | Physician Assistant | 5601004116 (Michigan) | Secondary |
| 363A00000X | Physician Assistant | PA60940050 (Washington) | Primary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|
| Kaiser Foundation Health Plan Of Washington | 9032022579 | 1482 |
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. Patrick Kelly 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 Address | Practice Location Address |
|---|
Patrick Kelly Smith, PAC
20200 54th Ave W,
Lynnwood, WA 98036-6318
Ph: (425) 672-6400 | Patrick Kelly Smith, PAC
20200 54th Ave W,
Lynnwood, WA 98036-6318
Ph: (425) 672-6400 |
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