Audrey Anne Hubler, FNP is a medicare enrolled "Nurse Practitioner - Family" in South West City, Missouri. She graduated from nursing school in 2019 and has 5 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Sgoh Acquisition Inc and her current practice location is
109 N Broadway St, South West City, Missouri. You can reach out to her office (for appointments etc.) via phone at
(417) 762-3287.
Audrey Anne Hubler is licensed to practice in Missouri (license number 2019010401) 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 1831754720.
Provider's Profile
| Full Name | Audrey Anne Hubler |
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| Gender | Female |
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| Speciality | Nurse Practitioner |
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| Experience | 5 Years |
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| Location | 109 N Broadway St, South West City, 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:
- Audrey Anne Hubler graduated from nursing school in 2019
NPI Data:
- NPI Number: 1831754720
- Provider Enumeration Date: 05/06/2019
- Last Update Date: 10/13/2023
Medicare PECOS Information:
- PECOS PAC ID: 4688917727
- Enrollment ID: I20190513002662
Medical Identifiers
Medical identifiers for Audrey Anne Hubler such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1831754720 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 363LF0000X | Nurse Practitioner - Family | 2019010401 (Missouri) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| Sgoh Acquisition Inc | 5092616276 | 72 |
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. Audrey Anne Hubler allows following entities to bill medicare on her behalf.
| Entity Name | Sgoh Acquisition Inc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1114924768
PECOS PAC ID: 5092616276
Enrollment ID: O20040205000647 |
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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. Audrey Anne Hubler 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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Audrey Anne Hubler, FNP
109 N Broadway St,
South West City, MO 64863-9417
Ph: (417) 762-3287 | Audrey Anne Hubler, FNP
109 N Broadway St,
South West City, MO 64863-9417
Ph: (417) 762-3287 |
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