Ms Amy Ann Smith, PA-C - Medicare Physician Assistant in Decatur, IL

  1. Home
  2. Physician Assistant
  3. IL
  4. Decatur
Ms Amy Ann Smith, PA-C is a medicare enrolled "Physician Assistant" in Decatur, Illinois. She went to Mid West Medical College and graduated in 2012 and has 14 years of diverse experience with area of expertise as Physician Assistant. She is a member of the group practice Decatur Memorial Hospital and her current practice location is 550 Southland Dr, Decatur, Illinois. You can reach out to her office (for appointments etc.) via phone at (217) 425-9264.

Ms Amy Ann Smith is licensed to practice in Illinois (license number 085005048) 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 1174875223.

Contact Information

Ms Amy Ann Smith, PA-C
550 Southland Dr,
Decatur, IL 62521-4080
(217) 425-9264
(217) 425-5983

Map and Direction




Provider's Profile

Full NameMs Amy Ann Smith
GenderFemale
SpecialityPhysician Assistant
Experience14 Years
Location550 Southland Dr, Decatur, Illinois
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:
  • Ms Amy Ann Smith attended and graduated from Mid West Medical College in 2012
  NPI Data:
  • NPI Number: 1174875223
  • Provider Enumeration Date: 10/12/2012
  • Last Update Date: 01/13/2023
  Medicare PECOS Information:
  • PECOS PAC ID: 7517199870
  • Enrollment ID: I20140613001500

Medical Identifiers

Medical identifiers for Ms Amy Ann Smith such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1174875223NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363AM0700XPhysician Assistant - Medical 085005048 (Illinois)Secondary
363AM0700XPhysician Assistant - Medical 5214 (Arizona)Secondary
363A00000XPhysician Assistant 085005048 (Illinois)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Decatur Memorial HospitalDecatur, ILHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Decatur Memorial Hospital6204731144173

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. Ms Amy Ann Smith allows following entities to bill medicare on her behalf.
Entity NameDecatur Memorial Hospital
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1164477725
PECOS PAC ID: 6204731144
Enrollment ID: O20031203000685

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. Ms Amy Ann 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
Ms Amy Ann Smith, PA-C
2300 N Edward St, Gsbll,
Decatur, IL 62526-4163

Ph: (217) 876-2857		Ms Amy Ann Smith, PA-C
550 Southland Dr,
Decatur, IL 62521-4080

Ph: (217) 425-9264

Reviews and Comments


Physician Assistant Nurses in Decatur, IL

Mary Katherine Kenney, PA
Physician Assistant
Medicare: Accepting Medicare Assignments
Practice Location: 1800 E Lake Shore Dr, Decatur, IL 62521
Phone: 217-464-2966    
Paul Gurley, PA-C
Physician Assistant
Medicare: Medicare Enrolled
Practice Location: 2300 N Edward St, Decatur, IL 62526
Phone: 217-876-3000    
Jacob Nuss, PA
Physician Assistant
Medicare: Not Enrolled in Medicare
Practice Location: 1730 E Lake Shore Dr, Decatur, IL 62521
Phone: 217-329-1000    Fax: 217-329-1055
Laura E Law, PA-C
Physician Assistant
Medicare: Accepting Medicare Assignments
Practice Location: 250 W Kenwood Ave, Decatur, IL 62526
Phone: 217-872-3800    Fax: 217-872-0849
Loceean Laney, PA-C
Physician Assistant
Medicare: Not Enrolled in Medicare
Practice Location: 2120 N 27th St, Decatur, IL 62526
Phone: 217-876-4041    Fax: 217-423-6486
Amanda Jacobsen, PA-C
Physician Assistant
Medicare: Medicare Enrolled
Practice Location: 320 E Central Ave, Decatur, IL 62521
Phone: 217-877-9117    
Mr. Eric Matthew Carrier, P.A.-C
Physician Assistant
Medicare: Medicare Enrolled
Practice Location: 3131 N Water St, Decatur, IL 62526
Phone: 217-876-5320    Fax: 217-876-5865

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.