Dr Brandon Jacob Smith, MD is a medicare enrolled "Pain Medicine - Pain Medicine" physician in St Louis Park, Minnesota. He went to University Of Minnesota Medical School and graduated in 2020 and has 5 years of diverse experience with area of expertise as Pain Management. He is a member of the group practice Mayo Clinic and his current practice location is
3800 Park Nicollet Blvd, St Louis Park, Minnesota. You can reach out to his office (for appointments etc.) via phone at
(952) 993-3123.
Dr Brandon Jacob Smith is licensed to practice in Minnesota (license number 69505) 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 1598387185.
Physician's Profile
| Full Name | Dr Brandon Jacob Smith |
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| Gender | Male |
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| Speciality | Pain Management |
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| Experience | 5 Years |
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| Location | 3800 Park Nicollet Blvd, St Louis Park, Minnesota |
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| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Dr Brandon Jacob Smith attended and graduated from University Of Minnesota Medical School in 2020
NPI Data:
- NPI Number: 1598387185
- Provider Enumeration Date: 05/18/2020
- Last Update Date: 07/24/2025
Medicare PECOS Information:
- PECOS PAC ID: 5698196806
- Enrollment ID: I20210609000337
Medical Identifiers
Medical identifiers for Dr Brandon Jacob Smith such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1598387185 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 208VP0000X | Pain Medicine - Pain Medicine | 69505 (Minnesota) | Primary |
| 208100000X | Physical Medicine & Rehabilitation | 69505 (Minnesota) | Secondary |
| 207R00000X | Internal Medicine | R11788 (Iowa) | Secondary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|
| Mayo Clinic | 6507778255 | 4507 |
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 Brandon Jacob Smith allows following entities to bill medicare on his behalf.
| Entity Name | Mayo Clinic |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1922074434
PECOS PAC ID: 6507778255
Enrollment ID: O20031103000285 |
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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. Dr Brandon Jacob 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 Brandon Jacob Smith, MD
8170 33rd Ave S # Ms 21110q,
Bloomington, MN 55425-4516
Ph: (952) 993-3123 | Dr Brandon Jacob Smith, MD
3800 Park Nicollet Blvd,
St Louis Park, MN 55416-2527
Ph: (952) 993-3123 |
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