Cynthia G Dicus, FNP in Rolla, MO - Medicare Nurse Practitioner

Cynthia G Dicus, FNP is a medicare enrolled "Nurse Practitioner - Family" in Rolla, Missouri. Her current practice location is 1605 Martin Springs Dr, Ste 230, Rolla, Missouri. You can reach out to her office (for appointments etc.) via phone at (573) 458-6350.

Cynthia G Dicus is licensed to practice in Missouri (license number 2011034127) 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 1205110301.

Contact Information

	Cynthia G Dicus, FNP
	1605 Martin Springs Dr, Ste 230, Rolla, MO 65401-2931
	(573) 458-6350
	(573) 458-6764

Map and Direction

Provider's Profile

Full Name	Cynthia G Dicus
Gender	Female
Speciality	Nurse Practitioner - Family
Location	1605 Martin Springs Dr, Rolla, Missouri
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1205110301
Provider Enumeration Date: 10/06/2011
Last Update Date: 06/09/2022

Medicare PECOS Information:

PECOS PAC ID: 9739355231
Enrollment ID: I20120105000138

Medical Identifiers

Medical identifiers for Cynthia G Dicus such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1205110301	NPI	-	NPPES
P01028023	Other	MO	RR MCR
431560263	Other	MO	TRICARE
1205110301	Medicaid	MO

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363L00000X	Nurse Practitioner	2011034127 (Missouri)	Secondary
363LF0000X	Nurse Practitioner - Family	2011034127 (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. Cynthia G Dicus allows following entities to bill medicare on her behalf.

Entity Name	Mercy Clinic Springfield Communities
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1245277631 PECOS PAC ID: 7416865845 Enrollment ID: O20031104000060

Entity Name	Missouri Baptist Hospital Of Sullivan
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1396827408 PECOS PAC ID: 2668380148 Enrollment ID: O20050519000401

Entity Name	Missouri Baptist Hospital Of Sullivan
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1295743169 PECOS PAC ID: 2668380148 Enrollment ID: O20060410000616

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. Cynthia G Dicus 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
Cynthia G Dicus, FNP Po Box 2580, Springfield, MO 65801-2580 Ph: (417) 829-4620	Cynthia G Dicus, FNP 1605 Martin Springs Dr, Ste 230, Rolla, MO 65401-2931 Ph: (573) 458-6350

Reviews and Comments

Nurse Practitioner Nurses in Rolla, MO

Mr. Steven R Ballard, ANP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1050 W 10th St, Rolla, MO 65401 Phone: 573-308-1301 Fax: 573-202-2480
Ms. Candy Sadler, AGNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1000 W 10th St, Rolla, MO 65401 Phone: 573-426-2214 Fax: 573-458-8316
Ms. Y'vonda Darlene Holmes, APRN, FNP, CNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1605 Martin Springs Dr, Rolla, MO 65401 Phone: 573-458-6326
Dr. Alexis West, DNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1081 E 18th St, Rolla, MO 65401 Phone: 573-426-5900
Meredith Leigh Napierala, CPNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1050 W 10th St, Rolla, MO 65401 Phone: 573-458-8899
Karene Marie Goodman, NURSE PRACTITIONER Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 715 St Rt Cc, Rolla, MO 65401 Phone: 573-308-5044 Fax: 573-341-5300
Angela Christine Middleton, FNP-BC, CEN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1000 W 10th St, Rolla, MO 65401 Phone: 573-458-8899

Cynthia G Dicus, FNP - Medicare Nurse Practitioner in Rolla, MO