Dr Kevin Lee Smith, DNP in Minneapolis, MN - Medicare Nurse Practitioner

Dr Kevin Lee Smith, DNP is a medicare enrolled "Nurse Practitioner - Family" in Minneapolis, Minnesota. His current practice location is 6655 Cortlawn Cir S, Minneapolis, Minnesota. You can reach out to his office (for appointments etc.) via phone at (763) 639-5327.

Dr Kevin Lee Smith is licensed to practice in Minnesota (license number R096446-3) 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 1679531024.

Contact Information

	Dr Kevin Lee Smith, DNP
	6655 Cortlawn Cir S, Minneapolis, MN 55426-1557
	(763) 639-5327
	Not Available

Map and Direction

Provider's Profile

Full Name	Dr Kevin Lee Smith
Gender	Male
Speciality	Nurse Practitioner - Family
Location	6655 Cortlawn Cir S, Minneapolis, Minnesota
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1679531024
Provider Enumeration Date: 05/03/2006
Last Update Date: 06/30/2021

Medicare PECOS Information:

PECOS PAC ID: 7810980851
Enrollment ID: I20040406000920

Medical Identifiers

Medical identifiers for Dr Kevin Lee Smith such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1679531024	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	R096446-3 (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. Dr Kevin Lee Smith allows following entities to bill medicare on his behalf.

Entity Name	Good Clinic Mn Pllc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1003423252 PECOS PAC ID: 0941616742 Enrollment ID: O20210302002351

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. Dr Kevin Lee 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
Dr Kevin Lee Smith, DNP 18510 25th Ave N, Plymouth, MN 55447-2016 Ph: (763) 639-5327	Dr Kevin Lee Smith, DNP 6655 Cortlawn Cir S, Minneapolis, MN 55426-1557 Ph: (763) 639-5327

Reviews and Comments

Nurse Practitioner Nurses in Minneapolis, MN

Shiao-lin D Hui, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 920 2nd Ave S, Suite 400, Minneapolis, MN 55402 Phone: 612-659-7111 Fax: 612-659-7101
Deborah Elkins, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 920 2nd Ave S, Suite 400, Minneapolis, MN 55402 Phone: 612-225-1534
Anne Hawkins, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 2530 Chicago Ave, Csc 390, Minneapolis, MN 55404 Phone: 612-813-6102
Mrs. Mary Susan Clipp, CPNP-AC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 2450 Riverside Ave, Minneapolis, MN 55454 Phone: 612-365-3100 Fax: 612-365-3110
Derek Przybylski, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 2525 Chicago Ave, Minneapolis, MN 55404 Phone: 715-207-9330
Dr. Kenneth Mcrae, DNP, APRN, CNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2925 Chicago Ave, Minneapolis, MN 55407 Phone: 763-236-5000
Hannah L. Balfanz, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 814 South 3rd Street, Minneapolis, MN 55415 Phone: 612-888-9792

Dr Kevin Lee Smith, DNP - Medicare Nurse Practitioner in Minneapolis, MN