Roosevelt Smith Jr, PAC, ATR - Physician Assistant in Winona, MN

Roosevelt Smith Jr, PAC, ATR is a Physician Assistant - Medical based in Winona, Minnesota. Roosevelt Smith Jr is licensed to practice in Minnesota (license number 9155) and his current practice location is 62 E 3rd St, Suite 3, Winona, Minnesota. He can be reached at his office (for appointments etc.) via phone at (507) 474-4770.

NPI number for Roosevelt Smith Jr is 1003836701 and his current mailing address is 62 E 3rd St, Suite 3, Winona, Minnesota. He does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1003836701.

Contact Information

Roosevelt Smith Jr, PAC, ATR
62 E 3rd St, Suite 3,
Winona, MN 55987-3481
(507) 474-4770
(507) 474-4774

Map and Direction




Provider's Profile

Full NameRoosevelt Smith Jr
GenderMale
SpecialityPhysician Assistant - Medical
Location62 E 3rd St, Winona, Minnesota
Accepts Medicare AssignmentsDoes not participate in Medicare Program. He may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1003836701
  • Provider Enumeration Date: 07/19/2006
  • Last Update Date: 07/08/2007

Medical Identifiers

Medical identifiers for Roosevelt Smith Jr such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1003836701NPI-NPPES
0121686OtherMNMEDICA
679G2SMOtherMNBCBS MN
HP32318OtherMNHEALTH PARTNERS

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363AM0700XPhysician Assistant - Medical 9155 (Minnesota)Primary
363AM0700XPhysician Assistant - Medical 500023 (Wisconsin)Secondary

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. Roosevelt Smith Jr is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Roosevelt Smith Jr, PAC, ATR
62 E 3rd St, Suite 3,
Winona, MN 55987-3481

Ph: (507) 474-4770
Roosevelt Smith Jr, PAC, ATR
62 E 3rd St, Suite 3,
Winona, MN 55987-3481

Ph: (507) 474-4770

Reviews and Comments


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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.