Maryann Marie Smith, is a medicare enrolled "Physician Assistant" in Bear Lake, Michigan. She graduated from nursing school in 2018 and has 8 years of diverse experience with area of expertise as Physician Assistant. She is a member of the group practice Crystal Lake Clinic Pc and her current practice location is
8225 Lake St, Bear Lake, Michigan. You can reach out to her office (for appointments etc.) via phone at
(231) 864-3314.
Maryann Marie Smith is licensed to practice in * (Not Available) (license number ) 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 1801363494.
Provider's Profile
| Full Name | Maryann Marie Smith |
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| Gender | Female |
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| Speciality | Physician Assistant |
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| Experience | 8 Years |
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| Location | 8225 Lake St, Bear Lake, Michigan |
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| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Medical Education and Training:
- Maryann Marie Smith graduated from nursing school in 2018
NPI Data:
- NPI Number: 1801363494
- Provider Enumeration Date: 11/01/2018
- Last Update Date: 06/07/2019
Medicare PECOS Information:
- PECOS PAC ID: 6901145713
- Enrollment ID: I20190221002444
Medical Identifiers
Medical identifiers for Maryann Marie Smith such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1801363494 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 363A00000X | Physician Assistant | (* (Not Available)) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
| Crystal Lake Clinic Pc | 0648259010 | 14 |
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. Maryann Marie Smith allows following entities to bill medicare on her behalf.
| Entity Name | Crystal Lake Clinic PC |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1134491731 PECOS PAC ID: 0648259010 Enrollment ID: O20040802000634 |
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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. Maryann Marie 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 |
Maryann Marie Smith, 6227 Frankfort Hwy, Benzonia, MI 49616-8632 Ph: (312) 882-9661 | Maryann Marie Smith, 8225 Lake St, Bear Lake, MI 49614 Ph: (231) 864-3314 |
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