Roman P Smulka, MD - Medicare Family Medicine in Andover, MN

Roman P Smulka, MD is a medicare enrolled "Family Medicine" physician in Andover, Minnesota. His current practice location is 15245 Bluebird St Nw, Mail Stop 39200a Riverway Clinic - Andover, Andover, Minnesota. You can reach out to his office (for appointments etc.) via phone at (763) 587-4600.

Roman P Smulka is licensed to practice in Minnesota (license number 27033) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1043284268.

Contact Information

Roman P Smulka, MD
15245 Bluebird St Nw, Mail Stop 39200a Riverway Clinic - Andover,
Andover, MN 55304-3554
(763) 587-4600
(763) 587-4615

Map and Direction




Physician's Profile

Full NameRoman P Smulka
GenderMale
SpecialityFamily Medicine
Location15245 Bluebird St Nw, Andover, Minnesota
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1043284268
  • Provider Enumeration Date: 02/14/2006
  • Last Update Date: 01/21/2013
  Medicare PECOS Information:
  • PECOS PAC ID: 4082677083
  • Enrollment ID: I20041110000914

Medical Identifiers

Medical identifiers for Roman P Smulka such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1043284268NPI-NPPES
668585400MedicaidMN

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207Q00000XFamily Medicine 27033 (Minnesota)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. Roman P Smulka allows following entities to bill medicare on his behalf.
Entity NameGroup Health Plan Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1710924683
PECOS PAC ID: 1759293954
Enrollment ID: O20031105000417

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. Roman P Smulka 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
Roman P Smulka, MD
15245 Bluebird St Nw,
Anoka, MN 55304-3538

Ph: (763) 587-4600
Roman P Smulka, MD
15245 Bluebird St Nw, Mail Stop 39200a Riverway Clinic - Andover,
Andover, MN 55304-3554

Ph: (763) 587-4600

Reviews and Comments


Family Medicine Doctors in Andover, MN

Steve G. Applebaum, MD
Family Medicine
Medicare: Medicare Enrolled
Practice Location: 15245 Bluebird Street Nw, Healthpartners Riverway Andover Urgent Care, Andover, MN 55304
Phone: 763-587-4688    Fax: 763-587-4662
Dr. Stephen William Robinson, M.D.
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 13819 Hanson Blvd Nw, Andover, MN 55304
Phone: 763-572-5710    Fax: 763-862-4490
Dr. Laurie Ann Mcleod-lorence, M.D.
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 13819 Hanson Blvd Nw, Andover, MN 55304
Phone: 763-572-5710    Fax: 763-862-4415
John W Gfrerer, MD
Family Medicine
Medicare: Not Enrolled in Medicare
Practice Location: 15245 Bluebird St Nw, Mail Stop 39200a, Andover, MN 55304
Phone: 763-712-6000    Fax: 763-712-6090
Jaya Durvasula,
Family Medicine
Medicare: Medicare Enrolled
Practice Location: 15245 Bluebird St Nw, Andover, MN 55304
Phone: 763-587-4600    Fax: 763-587-4615
Mrs. Marianne Shuchin Liu, MD
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 13819 Hanson Blvd. Nw, Fair View Clinic, Andover, MN 55304
Phone: 763-862-4477    Fax: 319-272-2107

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.