Dr Kent David Smallwood, PHD in Center City, MN - Medicare Clinical Psychologist Provider

Dr Kent David Smallwood, PHD is a medicare enrolled "Psychologist - Clinical" provider in Center City, Minnesota. He graduated from medical school in 2005 and has 19 years of diverse experience with area of expertise as Clinical Psychologist. He is a member of the group practice Allina Health System and his current practice location is 15251 Pleasant Valley Rd # Co7, Center City, Minnesota. You can reach out to his office (for appointments etc.) via phone at (651) 213-4169.

Dr Kent David Smallwood is licensed to practice in Minnesota (license number LP5358) 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 1679767016.

Contact Information

	Dr Kent David Smallwood, PHD
	15251 Pleasant Valley Rd # Co7, Center City, MN 55012-9640
	(651) 213-4169
	(651) 213-4515

Map and Direction

Healthcare Provider's Profile

Full Name	Dr Kent David Smallwood
Gender	Male
Speciality	Clinical Psychologist
Experience	19 Years
Location	15251 Pleasant Valley Rd # Co7, Center City, Minnesota
Accepts Medicare Assignments	Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Dr Kent David Smallwood graduated from medical school in 2005

NPI Data:

NPI Number: 1679767016
Provider Enumeration Date: 08/29/2007
Last Update Date: 03/11/2021

Medicare PECOS Information:

PECOS PAC ID: 8325292428
Enrollment ID: I20130124000438

Medical Identifiers

Medical identifiers for Dr Kent David Smallwood such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1679767016	NPI	-	NPPES
9058	Medicaid	IL

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
103TC0700X	Psychologist - Clinical	LP5358 (Minnesota)	Primary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Allina Health System	4587573613	3101

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 Kent David Smallwood allows following entities to bill medicare on his behalf.

Entity Name	Allina Health System
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1295272342 PECOS PAC ID: 4587573613 Enrollment ID: O20040319000460

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 Kent David Smallwood 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 Kent David Smallwood, PHD 15251 Pleasant Valley Rd # Co7, Po Box 11, Center City, MN 55012-9640 Ph: (651) 213-4169	Dr Kent David Smallwood, PHD 15251 Pleasant Valley Rd # Co7, Center City, MN 55012-9640 Ph: (651) 213-4169

Reviews and Comments

Psychologist in Center City, MN

Janaka Eugene Hanvey, M.S. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 15245 Pleasant Valley Rd, Center City, MN 55012 Phone: 651-213-4184 Fax: 651-213-4411
Dorine Rosella Reiter, PSY.D., LP Psychologist Medicare: Medicare Enrolled Practice Location: 15245 Pleasant Valley Rd, Center City, MN 55012 Phone: 651-213-4184 Fax: 651-213-4411
Irene D. Bugge, PHD Psychologist Medicare: Not Enrolled in Medicare Practice Location: 15245 Pleasant Valley Rd, Center City, MN 55012 Phone: 651-213-4184 Fax: 651-213-4411
Kabita Roy, PSYD RN Psychologist Medicare: May Accept Medicare Assignments Practice Location: 15251 Pleasant Valley Rd, Center City, MN 55012 Phone: 651-213-4184
Lindsay Marie Paetznick, PSYD Psychologist Medicare: Not Enrolled in Medicare Practice Location: 15251 Pleasant Valley Rd, Center City, MN 55012 Phone: 651-213-4367
Jeremy William Rondorf, PSY.D. Psychologist Medicare: Accepting Medicare Assignments Practice Location: 15245 Pleasant Valley Rd, Center City, MN 55012 Phone: 651-213-4184 Fax: 651-213-4411

Dr Kent David Smallwood, PHD - Medicare Psychologist in Center City, MN