Carly Nicole Smith, PA-C - Medicare Physician Assistant in Minnetonka, MN

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Carly Nicole Smith, PA-C is a medicare enrolled "Physician Assistant" in Minnetonka, Minnesota. She graduated from nursing school in 2013 and has 13 years of diverse experience with area of expertise as Physician Assistant. She is a member of the group practice Allina Health System, Ear Nose And Throat Specialty Care Of Minnesota Pa and her current practice location is 5435 Feltl Rd, Minnetonka, Minnesota. You can reach out to her office (for appointments etc.) via phone at (952) 835-9880.

Carly Nicole Smith is licensed to practice in Minnesota (license number 11656) 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 1043645690.

Contact Information

Carly Nicole Smith, PA-C
5435 Feltl Rd,
Minnetonka, MN 55343-7983
(952) 835-9880
Not Available

Map and Direction




Provider's Profile

Full NameCarly Nicole Smith
GenderFemale
SpecialityPhysician Assistant
Experience13 Years
Location5435 Feltl Rd, Minnetonka, Minnesota
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Carly Nicole Smith graduated from nursing school in 2013
  NPI Data:
  • NPI Number: 1043645690
  • Provider Enumeration Date: 09/13/2013
  • Last Update Date: 01/27/2017
  Medicare PECOS Information:
  • PECOS PAC ID: 8820219611
  • Enrollment ID: I20141020002032

Medical Identifiers

Medical identifiers for Carly Nicole Smith such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1043645690NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363AM0700XPhysician Assistant - Medical 085004730 (Illinois)Secondary
363A00000XPhysician Assistant 11656 (Minnesota)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Abbott Northwestern HospitalMinneapolis, MNHospital
Buffalo HospitalBuffalo, MNHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Allina Health System45875736133844
Ear Nose And Throat Specialty Care Of Minnesota Pa327452402046

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. Carly Nicole Smith allows following entities to bill medicare on her behalf.
Entity NameEmergency Care Consultants PA
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1669422788
PECOS PAC ID: 5496640161
Enrollment ID: O20040220000380
Entity NameAllina Health System
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1295272342
PECOS PAC ID: 4587573613
Enrollment ID: O20040319000460
Entity NameEar Nose & Throat Specialty Care of Minnesota PA
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1336175744
PECOS PAC ID: 3274524020
Enrollment ID: O20051116000590
Entity NameAllina Health System
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1457657249
PECOS PAC ID: 4587573613
Enrollment ID: O20221213001713

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. Carly Nicole 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 AddressPractice Location Address
Carly Nicole Smith, PA-C
5435 Feltl Rd,
Minnetonka, MN 55343-7983

Ph: (952) 835-9880		Carly Nicole Smith, PA-C
5435 Feltl Rd,
Minnetonka, MN 55343-7983

Ph: (952) 835-9880

Reviews and Comments


Physician Assistant Nurses in Minnetonka, MN

Reginald D Lewis, PA
Physician Assistant
Medicare: Medicare Enrolled
Practice Location: 5435 Feltl Rd, Minnetonka, MN 55343
Phone: 952-835-9880    Fax: 952-857-1554
Diane Elizabeth Heller,
Physician Assistant
Medicare: Not Enrolled in Medicare
Practice Location: 4848 County Road 101, Minnetonka, MN 55345
Phone: 952-401-3830    
Teresa P Angier, PA-C
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Practice Location: 4729 County Road 101, Minnetonka, MN 55345
Phone: 952-974-3200    Fax: 952-974-3201
Amanda Drewek, PA
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Medicare: Accepting Medicare Assignments
Practice Location: 12301 Whitewater Dr Ste 101, Minnetonka, MN 55343
Phone: 952-999-6097    Fax: 952-395-0883
Colleen A Schaeffel, PAC
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Phone: 952-974-3200    Fax: 952-974-3201
Avri Ann Bock, PA-C
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Medicare: Accepting Medicare Assignments
Practice Location: 14001 Ridgedale Dr Ste 200, Minnetonka, MN 55305
Phone: 952-249-2000    
Pamela Kaye Mcnallan, PA-C
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Medicare: Accepting Medicare Assignments
Practice Location: 12450 Wayzata Blvd, Suite 215, Minnetonka, MN 55305
Phone: 952-546-6866    

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.