Dr Kelly Craghill Fagerburg Smith, PSYD - Medicare Psychologist in Fargo, ND

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Dr Kelly Craghill Fagerburg Smith, PSYD is a medicare enrolled "Psychologist" provider in Fargo, North Dakota. Her current practice location is 1308 23rd St S, Fargo, North Dakota. You can reach out to her office (for appointments etc.) via phone at (701) 297-7540.

Dr Kelly Craghill Fagerburg Smith is licensed to practice in North Dakota (license number 473) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1376896803.

Contact Information

Dr Kelly Craghill Fagerburg Smith, PSYD
1308 23rd St S,
Fargo, ND 58103-3707
(701) 297-7540
(701) 297-6439

Map and Direction




Healthcare Provider's Profile

Full NameDr Kelly Craghill Fagerburg Smith
GenderFemale
SpecialityPsychologist
Location1308 23rd St S, Fargo, North Dakota
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1376896803
  • Provider Enumeration Date: 10/22/2012
  • Last Update Date: 03/11/2015
  Medicare PECOS Information:
  • PECOS PAC ID: 7517191018
  • Enrollment ID: I20131017000170

Medical Identifiers

Medical identifiers for Dr Kelly Craghill Fagerburg Smith such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1376896803NPI-NPPES
17313MedicaidND

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
103TC0700XPsychologist - Clinical 473 (North Dakota)Secondary
103T00000XPsychologist 473 (North Dakota)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 Kelly Craghill Fagerburg Smith allows following entities to bill medicare on her behalf.
Entity NameBadlands Human Service Center
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1124072525
PECOS PAC ID: 9739085499
Enrollment ID: O20031211000947
Entity NameNorthwest Human Service Center
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1770524613
PECOS PAC ID: 4183683196
Enrollment ID: O20041006000330
Entity NameSoutheast Human Service Center
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1932146941
PECOS PAC ID: 8527027556
Enrollment ID: O20041006000512
Entity NameBenson Psychological Services Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1477709574
PECOS PAC ID: 3274681663
Enrollment ID: O20090422000672

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 Kelly Craghill Fagerburg 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
Dr Kelly Craghill Fagerburg Smith, PSYD
1308 23rd St S,
Fargo, ND 58103-3707

Ph: (701) 297-7540		Dr Kelly Craghill Fagerburg Smith, PSYD
1308 23rd St S,
Fargo, ND 58103-3707

Ph: (701) 297-7540

Reviews and Comments


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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.