Brenna Panhorst, is a medicare enrolled "Nurse Practitioner - Family" in New Haven, Missouri. Her current practice location is
9513 Highway 100, New Haven, Missouri. You can reach out to her office (for appointments etc.) via phone at
(573) 237-6100.
Brenna Panhorst is licensed to practice in Missouri (license number 2022036572) 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 1700500147.
Provider's Profile
| Full Name | Brenna Panhorst |
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| Gender | Female |
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| Speciality | Nurse Practitioner - Family |
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| Location | 9513 Highway 100, New Haven, 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: 1700500147
- Provider Enumeration Date: 09/29/2022
- Last Update Date: 09/29/2022
Medicare PECOS Information:
- PECOS PAC ID: 2062880511
- Enrollment ID: I20221115001547
Medical Identifiers
Medical identifiers for Brenna Panhorst such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1700500147 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 363LF0000X | Nurse Practitioner - Family | 2022036572 (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. Brenna Panhorst allows following entities to bill medicare on her behalf.
| Entity Name | Mercy Clinic East Communities |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1073739041
PECOS PAC ID: 7214827922
Enrollment ID: O20070521000058 |
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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. Brenna Panhorst 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 |
|---|
Brenna Panhorst,
116 Gray Squirrel Trl,
Berger, MO 63014-1545
Ph: (573) 301-6994 | Brenna Panhorst,
9513 Highway 100,
New Haven, MO 63068-1300
Ph: (573) 237-6100 |
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