Stacey A Smith, MD in Detroit Lakes, MN - Medicare Family Practice

Stacey A Smith, MD is a medicare enrolled "Family Medicine" physician in Detroit Lakes, Minnesota. He went to University Of North Dakota School Of Medicine and graduated in 1998 and has 28 years of diverse experience with area of expertise as Family Practice. He is a member of the group practice Sanford Medical Center Fargo and his current practice location is 1245 Washington Ave, Detroit Lakes, Minnesota. You can reach out to his office (for appointments etc.) via phone at (218) 846-2000.

Stacey A Smith is licensed to practice in Minnesota (license number 44095) 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 1649210832.

Contact Information

	Stacey A Smith, MD
	1245 Washington Ave, Detroit Lakes, MN 56501-3923
	(218) 846-2000
	Not Available

Map and Direction

Physician's Profile

Full Name	Stacey A Smith
Gender	Male
Speciality	Family Practice
Experience	28 Years
Location	1245 Washington Ave, Detroit Lakes, 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:

Stacey A Smith attended and graduated from University Of North Dakota School Of Medicine in 1998

NPI Data:

NPI Number: 1649210832
Provider Enumeration Date: 06/07/2006
Last Update Date: 06/17/2026

Medicare PECOS Information:

PECOS PAC ID: 8729169446
Enrollment ID: I20080118000308

Medical Identifiers

Medical identifiers for Stacey A Smith such as npi, medicare ID, medicare PIN, medicaid, etc.

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 #

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207Q00000X	Family Medicine	44095 (Minnesota)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Knute Nelson Home Care	Alexandria, MN	Home health agency
Sanford Home Care Fargo	Fargo, ND	Home health agency
Knute Nelson Hospice	Alexandria, MN	Hospice
Hospice Of Red River Valley	Fargo, ND	Hospice
Sanford Medical Center Fargo	Fargo, ND	Hospital
Perham Health	Perham, MN	Hospital
Prairie Ridge Hospital And Health Services	Elbow lake, MN	Hospital
Lake Region Healthcare Corporation	Fergus falls, MN	Hospital
Pelican Valley Health Center	Pelican rapids, MN	Nursing home

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Sanford Medical Center Fargo	8426967803	1198

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. Stacey A Smith allows following entities to bill medicare on his behalf.

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

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. Stacey A 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
Stacey A Smith, MD Po Box 5074, Sioux Falls, SD 57117-5074 Ph: (605) 328-9419	Stacey A Smith, MD 1245 Washington Ave, Detroit Lakes, MN 56501-3923 Ph: (218) 846-2000

Reviews and Comments

Family Medicine Doctors in Detroit Lakes, MN

Dr. Gaurav Suresh Mehta, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1027 Washington Avenue, Detroit Lakes, MN 56501 Phone: 218-847-5611
Benita Behm, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1027 Washington Ave, Detroit Lakes, MN 56501 Phone: 218-844-2300
Julie A Pazdernik, MD Family Medicine Medicare: May Accept Medicare Assignments Practice Location: 1027 Washington Ave, Detroit Lakes, MN 56501 Phone: 218-847-5611 Fax: 218-847-0881
Robert A Koshnick, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 1027 Washington Ave, Detroit Lakes, MN 56501 Phone: 218-847-5611 Fax: 218-847-0881
Dr. Tricia Rae Brein, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1027 Washington Ave, Detroit Lakes, MN 56501 Phone: 218-847-5611
Abigail K Ring, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 1027 Washington Ave, Detroit Lakes, MN 56501 Phone: 218-847-5611 Fax: 218-847-0881
Scott Allen Lawrence, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1361 Wenner Rd, Detroit Lakes, MN 56501 Phone: 218-396-6500 Fax: 218-396-6504

Stacey A Smith, MD - Medicare Family Practice in Detroit Lakes, MN