David Smith, MD is a medicare enrolled "Pediatrics" physician in Sartell, Minnesota. His current practice location is 
111 2nd St S, Sartell, Minnesota. You can reach out to his office (for appointments etc.) via phone at 
(320) 281-3339.
David Smith is licensed to practice in Minnesota (license number 47571) 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 1720016124.
			
			
			
			
			
		 
		
		 
Physician's Profile
		
			
			
			| Full Name | David Smith | 
|---|
| Gender | Male | 
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| Speciality | Pediatrics | 
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| Location | 111 2nd St S, Sartell, Minnesota | 
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. | 
|---|
			
			 
			
						  NPI Data:
			
			- NPI Number: 1720016124
- Provider Enumeration Date: 06/28/2006
- Last Update Date: 04/07/2022
  Medicare PECOS Information:
- PECOS PAC ID: 0042256588
- Enrollment ID: I20050706000512
 
		 
		 
Medical Identifiers
		Medical identifiers for David Smith such as npi, medicare ID, medicare PIN, medicaid, etc.
		
		| Identifier | Type | State | Issuer | 
|---|
		| 1720016124 | NPI | - | NPPES | 
| 173436900 | Medicaid | MN |  | 
		
		 
Medical Taxonomies and Licenses
		
		| Taxonomy | Type | License (State) | Status | 
|---|
		| 208000000X | Pediatrics | 47571 (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. David Smith allows following entities to bill medicare on his behalf.
| Entity Name | Sartell Pediatrics Pa | 
|---|
| Entity Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice | 
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| Entity Identifiers | NPI Number: 1215203898 PECOS PAC ID: 1759788185
 Enrollment ID: O20210927003181
 | 
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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. David 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 | 
|---|
		| David Smith, MD 111 2nd St S,
 Sartell, MN 56377-1917
 Ph: (320) 281-3339
 | David Smith, MD 111 2nd St S,
 Sartell, MN 56377-1917
 Ph: (320) 281-3339
 | 
		
		 
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