Stacey A Smith, MD - Medicare Family Practice in Pelican Rapids, MN

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Stacey A Smith, MD is a medicare enrolled "Family Medicine" physician in Pelican Rapids, Minnesota. He went to University Of North Dakota School Of Medicine and graduated in 1998 and has 26 years of diverse experience with area of expertise as Family Practice. He is a member of the group practice Sanford Clinic North, Sanford Medical Center Fargo and his current practice location is 211 E Mill St, Pelican Rapids, Minnesota. You can reach out to his office (for appointments etc.) via phone at (218) 863-6100.

Stacey A Smith is licensed to practice in Minnesota (license number 44095) 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 1649210832.

Contact Information

Stacey A Smith, MD
211 E Mill St,
Pelican Rapids, MN 56572-4234
(218) 863-6100
Not Available

Map and Direction




Physician's Profile

Full NameStacey A Smith
GenderMale
SpecialityFamily Practice
Experience26 Years
Location211 E Mill St, Pelican Rapids, Minnesota
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:
  • Stacey A Smith attended and graduated from University Of North Dakota School Of Medicine in 1998
  NPI Data:
  • NPI Number: 1649210832
  • Provider Enumeration Date: 06/07/2006
  • Last Update Date: 11/28/2011
  Medicare PECOS Information:
  • PECOS PAC ID: 8729169446
  • Enrollment ID: I20080118000308

Medical Identifiers

Medical identifiers for Stacey A Smith such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1649210832NPI-NPPES
0107063OtherMNMEDICA #
20696OtherMNNDBS #
677682500MedicaidMN
1280970OtherMNAMERICA'S PPO/ARAZ #
43G89SMOtherMNMNBS #
0107064OtherMNMEDICA #
142065OtherMNUCARE #
DA9031028234OtherMNPREFERRED ONE #
11146MedicaidMN
HP38211OtherMNHEALTHPARTNERS #
MN100045OtherMNLHS/BANNERHEALTH #

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207Q00000XFamily Medicine 44095 (Minnesota)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Knute Nelson Home CareAlexandria, MNHome health agency
Hospice Of Red River ValleyFargo, NDHospice
Sanford Medical Center FargoFargo, NDHospital
Lake Region Healthcare CorporationFergus falls, MNHospital
Pelican Valley Health CenterPelican rapids, MNNursing home

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Sanford Clinic North428454615176
Sanford Medical Center Fargo84269678031085

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. Stacey A Smith allows following entities to bill medicare on his behalf.
Entity NameSanford Clinic North
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1548532468
PECOS PAC ID: 4284546151
Enrollment ID: O20031209000264
Entity NameSanford Medical Center Fargo
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1184917924
PECOS PAC ID: 8426967803
Enrollment ID: O20110701000031

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. Stacey A 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
Stacey A Smith, MD
211 E Mill St,
Pelican Rapids, MN 56572-4234

Ph: (218) 863-6100		Stacey A Smith, MD
211 E Mill St,
Pelican Rapids, MN 56572-4234

Ph: (218) 863-6100

Reviews and Comments


Family Medicine Doctors in Pelican Rapids, MN

Julie A Spina, MD
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 211 E Mill St, Pelican Rapids, MN 56572
Phone: 218-863-6100    Fax: 218-863-6173

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.