Ms Kathy Marie Smith, LICSW in Fargo, ND - Medicare Clinical Social Worker Provider

Ms Kathy Marie Smith, LICSW is a medicare enrolled "Social Worker - Clinical" provider in Fargo, North Dakota. She went to University Of Wisconsin School Of Medicine and graduated in 1986 and has 38 years of diverse experience with area of expertise as Clinical Social Worker. She is a member of the group practice Sanford Medical Center Fargo and her current practice location is 801 Broadway N, Fargo, North Dakota. You can reach out to her office (for appointments etc.) via phone at (701) 234-2000.

Ms Kathy Marie Smith is licensed to practice in North Dakota (license number 732) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1285170530.

Contact Information

	Ms Kathy Marie Smith, LICSW
	801 Broadway N, Fargo, ND 58102-3641
	(701) 234-2000
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Ms Kathy Marie Smith
Gender	Female
Speciality	Clinical Social Worker
Experience	38 Years
Location	801 Broadway N, Fargo, North Dakota
Accepts Medicare Assignments	Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Ms Kathy Marie Smith attended and graduated from University Of Wisconsin School Of Medicine in 1986

NPI Data:

NPI Number: 1285170530
Provider Enumeration Date: 01/10/2017
Last Update Date: 01/10/2017

Medicare PECOS Information:

PECOS PAC ID: 4981989597
Enrollment ID: I20170322002108

Medical Identifiers

Medical identifiers for Ms Kathy Marie Smith such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1285170530	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
1041C0700X	Social Worker - Clinical	732 (North Dakota)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Sanford Medical Center Fargo	Fargo, ND	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Sanford Medical Center Fargo	8426967803	1094

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. Ms Kathy Marie Smith allows following entities to bill medicare on her behalf.

Entity Name	Sanford Clinic North
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1942241351 PECOS PAC ID: 4284546151 Enrollment ID: O20031112000221

Entity Name	Sanford Medical Center Fargo
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1184917924 PECOS PAC ID: 8426967803 Enrollment ID: O20110331000495

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. Ms Kathy Marie 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
Ms Kathy Marie Smith, LICSW 801 Broadway N, Fargo, ND 58102-3641 Ph: () -	Ms Kathy Marie Smith, LICSW 801 Broadway N, Fargo, ND 58102-3641 Ph: (701) 234-2000

Reviews and Comments

Social Worker in Fargo, ND

Rachel Marsolek, LICSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 721 1st Ave N, Fargo, ND 58102 Phone: 701-461-7364
Brittany Joy Alexander, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 2101 Elm St N, Fargo, ND 58102 Phone: 701-232-3241
Tracy E Mohn, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 100 4th St S, Fargo, ND 58103 Phone: 701-234-3106 Fax: 701-234-3106
Rachel Salquist, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 2101 Elm St N, Fargo, ND 58102 Phone: 701-232-3241
Tracy M Foldesi-penas, MSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 100 4th St S, Fargo, ND 58103 Phone: 701-234-3100 Fax: 701-234-3120
Lindsey Leigh Krueger, LCSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 6046 14th St S, Fargo, ND 58104 Phone: 701-404-0997 Fax: 701-566-8876
Deonne J Varriano, LICSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 2624 9th Ave S, Fargo, ND 58103 Phone: 701-298-4500 Fax: 701-298-4400

Ms Kathy Marie Smith, LICSW - Medicare Clinical Social Worker in Fargo, ND