Dr Nicole Lynn Smith, PSYD, LP in Minnetonka, MN - Medicare Psychologist Provider

Dr Nicole Lynn Smith, PSYD, LP is a medicare enrolled "Psychologist - Clinical Child & Adolescent" provider in Minnetonka, Minnesota. Her current practice location is 10273 Yellow Circle Dr, Minnetonka, Minnesota. You can reach out to her office (for appointments etc.) via phone at (952) 215-3759.

Dr Nicole Lynn Smith is licensed to practice in Minnesota (license number LP5504) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1215206552.

Contact Information

	Dr Nicole Lynn Smith, PSYD, LP
	10273 Yellow Circle Dr, Minnetonka, MN 55343-9144
	(952) 215-3759
	(952) 401-9805

Map and Direction

Healthcare Provider's Profile

Full Name	Dr Nicole Lynn Smith
Gender	Female
Speciality	Psychologist - Clinical Child & Adolescent
Location	10273 Yellow Circle Dr, Minnetonka, Minnesota
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1215206552
Provider Enumeration Date: 12/15/2011
Last Update Date: 06/26/2014

Medicare PECOS Information:

PECOS PAC ID: 8820510936
Enrollment ID: I20250318003343

Medical Identifiers

Medical identifiers for Dr Nicole Lynn Smith such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1215206552	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
103TC2200X	Psychologist - Clinical Child & Adolescent	LP5504 (Minnesota)	Primary

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. Dr Nicole Lynn Smith allows following entities to bill medicare on her behalf.

Entity Name	Grow Healthcare Group Pa
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1245845932 PECOS PAC ID: 3476961368 Enrollment ID: O20230310000874

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. Dr Nicole Lynn 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
Dr Nicole Lynn Smith, PSYD, LP 2841 Bryant Ave S Apt 130, Minneapolis, MN 55408-4896 Ph: (414) 232-7277	Dr Nicole Lynn Smith, PSYD, LP 10273 Yellow Circle Dr, Minnetonka, MN 55343-9144 Ph: (952) 215-3759

Reviews and Comments

Psychologist in Minnetonka, MN

Ms. Laura Ann Jaap, M.A., L.P. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 12301 Whitewater Dr Ste 101, Minnetonka, MN 55343 Phone: 952-999-6097 Fax: 952-426-0508
Alecia Ann Viera, PSYD, LP Psychologist Medicare: Accepting Medicare Assignments Practice Location: 10505 Wayzata Blvd Ste 200, Minnetonka, MN 55305 Phone: 763-546-5797
Dr. Susan Kay Powers, PSY.D. Psychologist Medicare: Accepting Medicare Assignments Practice Location: 17508 Minnetonka Blvd, Minnetonka, MN 55345 Phone: 763-234-4876
Dr. Andrew Fink, PSY.D Psychologist Medicare: Not Enrolled in Medicare Practice Location: 5710 Baker Rd, Minnetonka, MN 55345 Phone: 952-767-4200
Kathryn J Anderson, LICENSED PSYCHOLOGIS Psychologist Medicare: Not Enrolled in Medicare Practice Location: 15320 Minnetonka Blvd, # 200 Relate Inc, Minnetonka, MN 55345 Phone: 952-932-7277 Fax: 952-932-9827
Dr. Jill Marie Strunk, ED.D., L.P. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 4001 Huntingdon Dr, Minnetonka, MN 55305 Phone: 952-936-7547
Stephanie P Pedersen, L.P. Psychologist Medicare: May Accept Medicare Assignments Practice Location: 5125 County Road 101, Suite 300, Relate, Inc., Minnetonka, MN 55345 Phone: 952-932-7277 Fax: 952-932-9827

Dr Nicole Lynn Smith, PSYD, LP - Medicare Psychologist in Minnetonka, MN