Mrs Rayna L Smith, PA-C - Medicare Physician Assistant in Southlake, TX

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Mrs Rayna L Smith, PA-C is a medicare enrolled "Physician Assistant" in Southlake, Texas. She graduated from nursing school in 2016 and has 10 years of diverse experience with area of expertise as Physician Assistant. She is a member of the group practice Mayo Clinic and her current practice location is 505 S Nolen Dr Ste A, Southlake, Texas. You can reach out to her office (for appointments etc.) via phone at (817) 424-1525.

Mrs Rayna L Smith is licensed to practice in Texas (license number PA10718) 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 1942758982.

Contact Information

Mrs Rayna L Smith, PA-C
505 S Nolen Dr Ste A,
Southlake, TX 76092-9167
(817) 424-1525
(817) 424-3491

Map and Direction




Provider's Profile

Full NameMrs Rayna L Smith
GenderFemale
SpecialityPhysician Assistant
Experience10 Years
Location505 S Nolen Dr Ste A, Southlake, Texas
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:
  • Mrs Rayna L Smith graduated from nursing school in 2016
  NPI Data:
  • NPI Number: 1942758982
  • Provider Enumeration Date: 09/20/2016
  • Last Update Date: 09/03/2026
  Medicare PECOS Information:
  • PECOS PAC ID: 1951680677
  • Enrollment ID: I20231108003699

Medical Identifiers

Medical identifiers for Mrs Rayna L Smith such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1942758982NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363A00000XPhysician Assistant PA10718 (Texas)Primary
363A00000XPhysician Assistant 14611 (Minnesota)Secondary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Mayo Clinic Hospital RochesterRochester, MNHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Mayo Clinic65077782554829

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. Mrs Rayna L Smith allows following entities to bill medicare on her behalf.
Entity NameMayo Clinic
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1922074434
PECOS PAC ID: 6507778255
Enrollment ID: O20031103000285

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. Mrs Rayna L 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
Mrs Rayna L Smith, PA-C
950 E State Highway 114 Ste 200,
Southlake, TX 76092-5261

Ph: (214) 424-2200		Mrs Rayna L Smith, PA-C
505 S Nolen Dr Ste A,
Southlake, TX 76092-9167

Ph: (817) 424-1525

Reviews and Comments


Physician Assistant Nurses in Southlake, TX

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Lauren Ashley Shepherd, PA
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Kristi Lee West, PA-C
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Lisa Tshuma, PA
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Practice Location: 321 W Southlake Blvd, Suite #180, Southlake, TX 76092
Phone: 817-416-2905    Fax: 817-416-7284

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.