| Stacey A Smith, MD | |
|
211 E Mill St, Pelican Rapids, MN 56572-4234 | |
| (218) 863-6100 | |
| Not Available |
| Full Name | Stacey A Smith |
|---|---|
| Gender | Male |
| Speciality | Family Practice |
| Experience | 28 Years |
| Location | 211 E Mill St, Pelican Rapids, 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. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1649210832 | NPI | - | NPPES |
| 0107063 | Other | MN | MEDICA # |
| 20696 | Other | MN | NDBS # |
| 677682500 | Medicaid | MN | |
| 1280970 | Other | MN | AMERICA'S PPO/ARAZ # |
| 43G89SM | Other | MN | MNBS # |
| 0107064 | Other | MN | MEDICA # |
| 142065 | Other | MN | UCARE # |
| DA9031028234 | Other | MN | PREFERRED ONE # |
| 11146 | Medicaid | MN | |
| HP38211 | Other | MN | HEALTHPARTNERS # |
| MN100045 | Other | MN | LHS/BANNERHEALTH # |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 44095 (Minnesota) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Hospice Of Red River Valley | Fargo, ND | Hospice |
| Knute Nelson Hospice | Alexandria, MN | Hospice |
| Sanford Medical Center Fargo | Fargo, ND | Hospital |
| Perham Health | Perham, MN | Hospital |
| Pelican Valley Health Center | Pelican rapids, MN | Nursing home |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Sanford Medical Center Fargo | 8426967803 | 1125 |
| 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: O20110701000031 |
| Mailing Address | Practice Location Address |
|---|---|
| Stacey A Smith, MD 211 E Mill St, Pelican Rapids, MN 56572-4234 Ph: (218) 863-6100 | Stacey A Smith, MD 211 E Mill St, Pelican Rapids, MN 56572-4234 Ph: (218) 863-6100 |
Julie A Spina, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 211 E Mill St, Pelican Rapids, MN 56572 Phone: 218-863-6100 Fax: 218-863-6173 |