Nancy D Lodge, MD - Medicare Pediatrics in Fredericktown, MO

  1. Home
  2. Pediatrics
  3. MO
  4. Fredericktown
Nancy D Lodge, MD is a medicare enrolled "Pediatrics" physician in Fredericktown, Missouri. Her current practice location is 611 W Main St, Fredericktown, Missouri. You can reach out to her office (for appointments etc.) via phone at (573) 783-3341.

Nancy D Lodge is licensed to practice in Arizona (license number 31111) 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 1104973858.

Contact Information

Nancy D Lodge, MD
611 W Main St,
Fredericktown, MO 63645-1111
(573) 783-3341
Not Available

Map and Direction




Physician's Profile

Full NameNancy D Lodge
GenderFemale
SpecialityPediatrics
Location611 W Main St, Fredericktown, Missouri
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1104973858
  • Provider Enumeration Date: 01/04/2007
  • Last Update Date: 06/05/2015
  Medicare PECOS Information:
  • PECOS PAC ID: 7911022660
  • Enrollment ID: I20121103000095

Medical Identifiers

Medical identifiers for Nancy D Lodge such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1104973858NPI-NPPES
1Z9363OtherAZHEALTHNET
4575331OtherAZAETNA US HEALTHCARE
164351MedicaidAZ
AZ0729800OtherAZBLUE CROSS BLUE SHEILD

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
208000000XPediatrics 31111 (Arizona)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. Nancy D Lodge allows following entities to bill medicare on her behalf.
Entity NameMadison Medical Center Stockhoff Memorial Nursing Home
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1720163025
PECOS PAC ID: 1355255886
Enrollment ID: O20031118000558
Entity NameMadison Medical Center Stockhoff Memorial Nursing Home
Entity TypePart A Provider - Critical Access Hospital
Entity IdentifiersNPI Number: 1720163025
PECOS PAC ID: 1355255886
Enrollment ID: O20080723000675

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. Nancy D Lodge 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
Nancy D Lodge, MD
611 W Main St,
Fredericktown, MO 63645-1111

Ph: (573) 783-3341		Nancy D Lodge, MD
611 W Main St,
Fredericktown, MO 63645-1111

Ph: (573) 783-3341

Reviews and Comments


Pediatrics Doctors in Fredericktown, MO


Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.