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

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Roosevelt Smith Jr, PAC, ATR is a medicare enrolled "Physician Assistant - Medical" in Winona, Minnesota. He graduated from nursing school in 1981 and has 45 years of diverse experience with area of expertise as Physician Assistant. He is a member of the group practice Winona Health Services and his current practice location is 62 E 3rd St, Suite 3, Winona, Minnesota. You can reach out to his office (for appointments etc.) via phone at (507) 474-4770.

Roosevelt Smith Jr is licensed to practice in Minnesota (license number 9155) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and 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
Experience45 Years
Location62 E 3rd St, Winona, Minnesota
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Roosevelt Smith Jr graduated from nursing school in 1981
  NPI Data:
  • NPI Number: 1003836701
  • Provider Enumeration Date: 07/19/2006
  • Last Update Date: 07/08/2007
  Medicare PECOS Information:
  • PECOS PAC ID: 7810924032
  • Enrollment ID: I20050720000097

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

Medical Facilities Affiliation

Facility NameLocationFacility Type
Winona Health ServicesWinona, MNHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Winona Health Services8527977420160

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. Roosevelt Smith Jr allows following entities to bill medicare on his behalf.
Entity NameWinona Health Services
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1295789352
PECOS PAC ID: 8527977420
Enrollment ID: O20040106000260

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 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
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.