Mrs Katherine Sue Wisehart, MAC is a medicare enrolled "Counselor" provider in Monticello, Missouri. Her current practice location is
105 East Lafayette, Monticello, Missouri. You can reach out to her office (for appointments etc.) via phone at
(573) 767-1212.
Mrs Katherine Sue Wisehart is licensed to practice in Missouri (license number ) 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 1114270451.
Healthcare Provider's Profile
Full Name | Mrs Katherine Sue Wisehart |
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Gender | Female |
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Speciality | Counselor |
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Location | 105 East Lafayette, Monticello, Missouri |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1114270451
- Provider Enumeration Date: 10/24/2012
- Last Update Date: 08/25/2021
Medicare PECOS Information:
- PECOS PAC ID: 7618315227
- Enrollment ID: I20240402001771
Medical Identifiers
Medical identifiers for Mrs Katherine Sue Wisehart such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1114270451 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
101Y00000X | Counselor | (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. Mrs Katherine Sue Wisehart allows following entities to bill medicare on her behalf.
Entity Name | Hannibal Regional Healthcare System Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1134311392 PECOS PAC ID: 1254236300 Enrollment ID: O20071004000422 |
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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. Mrs Katherine Sue Wisehart 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 |
Mrs Katherine Sue Wisehart, MAC 22110 State Highway 6, Ewing, MO 63440-2629 Ph: (573) 767-1212 | Mrs Katherine Sue Wisehart, MAC 105 East Lafayette, Monticello, MO 63457 Ph: (573) 767-1212 |
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