Ms Kathy Marie Smith, LICSW - Medicare Clinical Social Worker in Fargo, ND

Ms Kathy Marie Smith, LICSW is a medicare enrolled "Social Worker - Clinical" provider in Fargo, North Dakota. She went to University Of Wisconsin School Of Medicine and graduated in 1986 and has 38 years of diverse experience with area of expertise as Clinical Social Worker. She is a member of the group practice Sanford Medical Center Fargo and her current practice location is 801 Broadway N, Fargo, North Dakota. You can reach out to her office (for appointments etc.) via phone at (701) 234-2000.

Ms Kathy Marie Smith is licensed to practice in North Dakota (license number 732) 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 1285170530.

Contact Information

Ms Kathy Marie Smith, LICSW
801 Broadway N,
Fargo, ND 58102-3641
(701) 234-2000
Not Available



Healthcare Provider's Profile

Full NameMs Kathy Marie Smith
GenderFemale
SpecialityClinical Social Worker
Experience38 Years
Location801 Broadway N, Fargo, North Dakota
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:
  • Ms Kathy Marie Smith attended and graduated from University Of Wisconsin School Of Medicine in 1986
  NPI Data:
  • NPI Number: 1285170530
  • Provider Enumeration Date: 01/10/2017
  • Last Update Date: 01/10/2017
  Medicare PECOS Information:
  • PECOS PAC ID: 4981989597
  • Enrollment ID: I20170322002108

Medical Identifiers

Medical identifiers for Ms Kathy Marie Smith such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1285170530NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
1041C0700XSocial Worker - Clinical 732 (North Dakota)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Sanford Medical Center FargoFargo, NDHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Sanford Medical Center Fargo84269678031094

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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. Ms Kathy Marie Smith allows following entities to bill medicare on her behalf.
Entity NameSanford Clinic North
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1942241351
PECOS PAC ID: 4284546151
Enrollment ID: O20031112000221

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Entity NameSanford Medical Center Fargo
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1184917924
PECOS PAC ID: 8426967803
Enrollment ID: O20110331000495

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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. Ms Kathy Marie 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
Ms Kathy Marie Smith, LICSW
801 Broadway N,
Fargo, ND 58102-3641

Ph: () -
Ms Kathy Marie Smith, LICSW
801 Broadway N,
Fargo, ND 58102-3641

Ph: (701) 234-2000

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Social Worker in Fargo, ND

Rachel Marsolek, LICSW
Clinical Social Worker
Medicare: Not Enrolled in Medicare
Practice Location: 721 1st Ave N, Fargo, ND 58102
Phone: 701-461-7364    
Brittany Joy Alexander,
Clinical Social Worker
Medicare: Not Enrolled in Medicare
Practice Location: 2101 Elm St N, Fargo, ND 58102
Phone: 701-232-3241    
Tracy E Mohn, LCSW
Clinical Social Worker
Medicare: Not Enrolled in Medicare
Practice Location: 100 4th St S, Fargo, ND 58103
Phone: 701-234-3106    Fax: 701-234-3106
Rachel Salquist, LCSW
Clinical Social Worker
Medicare: Not Enrolled in Medicare
Practice Location: 2101 Elm St N, Fargo, ND 58102
Phone: 701-232-3241    
Tracy M Foldesi-penas, MSW
Clinical Social Worker
Medicare: Not Enrolled in Medicare
Practice Location: 100 4th St S, Fargo, ND 58103
Phone: 701-234-3100    Fax: 701-234-3120
Lindsey Leigh Krueger, LCSW
Clinical Social Worker
Medicare: Accepting Medicare Assignments
Practice Location: 6046 14th St S, Fargo, ND 58104
Phone: 701-404-0997    Fax: 701-566-8876
Deonne J Varriano, LICSW
Clinical Social Worker
Medicare: Not Enrolled in Medicare
Practice Location: 2624 9th Ave S, Fargo, ND 58103
Phone: 701-298-4500    Fax: 701-298-4400

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