Dr Sally K Adams, DC, FNP-C is a medicare enrolled "Nurse Practitioner - Family" provider in Mountain Grove, Missouri. Her current practice location is
120 W 16th St, Mountain Grove, Missouri. You can reach out to her office (for appointments etc.) via phone at
(417) 926-6111.
Dr Sally K Adams is licensed to practice in Missouri (license number 2015044894) 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 1598859688.
Healthcare Provider's Profile
| Full Name | Dr Sally K Adams |
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| Gender | Female |
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| Speciality | Nurse Practitioner - Family |
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| Location | 120 W 16th St, Mountain Grove, Missouri |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1598859688
- Provider Enumeration Date: 10/03/2006
- Last Update Date: 10/12/2017
Medicare PECOS Information:
- PECOS PAC ID: 4183920804
- Enrollment ID: I20160307001595
Medical Identifiers
Medical identifiers for Dr Sally K Adams such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1598859688 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 111NX0800X | Chiropractor - Orthopedic | 0391 (Mississippi) | Secondary |
| 363LF0000X | Nurse Practitioner - Family | R895367 (Mississippi) | Secondary |
| 363LF0000X | Nurse Practitioner - Family | 2015044894 (Missouri) | 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 Sally K Adams allows following entities to bill medicare on her behalf.
| Provider Name | Mercy Clinic Springfield Communities |
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| Provider Type | Part B Supplier - Clinic/group Practice |
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| Provider Identifiers | NPI Number: 1245277631
PECOS PAC ID: 7416865845
Enrollment ID: O20031104000060 |
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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. Dr Sally K Adams 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 Sally K Adams, DC, FNP-C
120 W 16th St,
Mountain Grove, MO 65711-1039
Ph: (417) 926-6111 | Dr Sally K Adams, DC, FNP-C
120 W 16th St,
Mountain Grove, MO 65711-1039
Ph: (417) 926-6111 |
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