Katelyn Jean Smith, in Bloomington, MN - Medicare Speech-Language Pathologist Provider

Katelyn Jean Smith, is a medicare enrolled "Speech-language Pathologist" provider in Bloomington, Minnesota. Her current practice location is 900 W 94th St, Bloomington, Minnesota. You can reach out to her office (for appointments etc.) via phone at (952) 885-0418.

Katelyn Jean Smith is licensed to practice in Minnesota (license number 10620) 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 1194321109.

Contact Information

	Katelyn Jean Smith,
	900 W 94th St, Bloomington, MN 55420-4206
	(952) 885-0418
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Katelyn Jean Smith
Gender	Female
Speciality	Speech-language Pathologist
Location	900 W 94th St, Bloomington, Minnesota
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1194321109
Provider Enumeration Date: 12/07/2020
Last Update Date: 11/16/2021

Medicare PECOS Information:

PECOS PAC ID: 3779990411
Enrollment ID: I20210325001318

Medical Identifiers

Medical identifiers for Katelyn Jean Smith such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1194321109	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
235Z00000X	Speech-language Pathologist	10620 (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. Katelyn Jean Smith allows following entities to bill medicare on her behalf.

Provider Name	Family Achievement Center Inc.
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1952411175 PECOS PAC ID: 6800795444 Enrollment ID: O20040102000720

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. Katelyn Jean 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
Katelyn Jean Smith, 8300 Golden Valley Rd Apt 440, Golden Valley, MN 55427-4456 Ph: (651) 621-9987	Katelyn Jean Smith, 900 W 94th St, Bloomington, MN 55420-4206 Ph: (952) 885-0418

Reviews and Comments

Speech-Language Pathologist in Bloomington, MN

Kaitlin Patricia Anderson, CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 1801 American Blvd E, Bloomington, MN 55425 Phone: 612-861-1688
Katie Rae Swanson, CF-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 900 W 94th St, Bloomington, MN 55420 Phone: 952-885-0418 Fax: 952-885-0173
Ms. Jennifer Mary Connelly, MS,CCC-SLP Speech-Language Pathologist Medicare: Medicare Enrolled Practice Location: 9001 E Bloomington Fwy Ste 141, Bloomington, MN 55420 Phone: 952-881-0000 Fax: 952-881-2727
Kimberly Butler Fryer, MA/ CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 1801 American Blvd E, Bloomington, MN 55425 Phone: 612-767-7904
Mrs. Brea Elizabeth Maday, MA CCC SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 900 West 94th Street, Bloomington, MN 55420 Phone: 952-885-0418 Fax: 952-885-0173
Roberta Rae Gunther, M.A., CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 7800 Metro Pkwy, Suite 300, Bloomington, MN 55425 Phone: 952-853-0046

Katelyn Jean Smith, - Medicare Speech-Language Pathologist in Bloomington, MN