Kirstie R Recktenwald, FNP is a medicare enrolled "Otolaryngology" physician in West Plains, Missouri. She graduated from medical school in 2013 and has 11 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Southern Missouri Ear, Nose And Throat, Pc and her current practice location is
1409 Doctors Dr, West Plains, Missouri. You can reach out to her office (for appointments etc.) via phone at
(417) 255-1373.
Kirstie R Recktenwald is licensed to practice in Missouri (license number 2013024398) 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 1023441672.
Physician's Profile
| Full Name | Kirstie R Recktenwald |
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| Gender | Female |
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| Speciality | Nurse Practitioner |
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| Experience | 11 Years |
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| Location | 1409 Doctors Dr, West Plains, Missouri |
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| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Kirstie R Recktenwald graduated from medical school in 2013
NPI Data:
- NPI Number: 1023441672
- Provider Enumeration Date: 08/19/2013
- Last Update Date: 09/10/2020
Medicare PECOS Information:
- PECOS PAC ID: 2365679487
- Enrollment ID: I20131217002057
Medical Identifiers
Medical identifiers for Kirstie R Recktenwald such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1023441672 | NPI | - | NPPES |
| 1023441672 | Medicaid | MO | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 207Y00000X | Otolaryngology | 2013024398 (Missouri) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| Southern Missouri Ear, Nose And Throat, Pc | 9638187131 | 3 |
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. Kirstie R Recktenwald allows following entities to bill medicare on her behalf.
| Entity Name | Southern Missouri Ear, Nose & Throat, Pc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1114057395
PECOS PAC ID: 9638187131
Enrollment ID: O20060324000319 |
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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. Kirstie R Recktenwald 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 |
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Kirstie R Recktenwald, FNP
1409 Doctors Dr,
West Plains, MO 65775-4754
Ph: (417) 255-1373 | Kirstie R Recktenwald, FNP
1409 Doctors Dr,
West Plains, MO 65775-4754
Ph: (417) 255-1373 |
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