Dalton Lusk, in Brookline, MO - Medicare Nurse Practitioner

Dalton Lusk, is a medicare enrolled "Nurse Practitioner - Family" in Brookline, Missouri. His current practice location is 3203 E Old Stone Ave, Brookline, Missouri. You can reach out to his office (for appointments etc.) via phone at (417) 269-1910.

Dalton Lusk is licensed to practice in Missouri (license number 2022024064) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1609500990.

Contact Information

	Dalton Lusk,
	3203 E Old Stone Ave, Brookline, MO 65619-9620
	(417) 269-1910
	Not Available

Map and Direction

Provider's Profile

Full Name	Dalton Lusk
Gender	Male
Speciality	Nurse Practitioner - Family
Location	3203 E Old Stone Ave, Brookline, Missouri
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1609500990
Provider Enumeration Date: 07/12/2022
Last Update Date: 07/12/2022

Medicare PECOS Information:

PECOS PAC ID: 6103209382
Enrollment ID: I20220822000730

Medical Identifiers

Medical identifiers for Dalton Lusk such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1609500990	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	2022024064 (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. Dalton Lusk allows following entities to bill medicare on his behalf.

Entity Name	Lester E Cox Medical Centers
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1053481689 PECOS PAC ID: 5799787784 Enrollment ID: O20070206000485

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. Dalton Lusk 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
Dalton Lusk, 3203 E Old Stone Ave, Brookline, MO 65619-9620 Ph: () -	Dalton Lusk, 3203 E Old Stone Ave, Brookline, MO 65619-9620 Ph: (417) 269-1910

Reviews and Comments

Nurse Practitioner Nurses in Brookline, MO

Nicole Lynne Baker, NP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 3203 E Old Stone Ave, Brookline, MO 65619 Phone: 417-269-1910 Fax: 417-269-1916
Celeste Renee Andrews, DNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 3203 E Old Stone Ave, Brookline, MO 65619 Phone: 417-269-1910 Fax: 417-269-1916
Debrah M. Bridges, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 3203 E Old Stone Avenue, Brookline, MO 65619 Phone: 417-269-1910 Fax: 417-269-1916
Renita W. Randall, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 3203 E Old Stone Rd, Brookline, MO 65619 Phone: 417-269-1910 Fax: 417-269-1916
Mrs. Sherrie J. Ament-sturtevant, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 3203 E Old Stone Ave, Brookline, MO 65619 Phone: 417-269-1910 Fax: 417-269-1916
Leann N Rensch, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 3203 E Old Stone Ave, Brookline, MO 65619 Phone: 417-269-1910 Fax: 417-269-1916

Dalton Lusk, - Medicare Nurse Practitioner in Brookline, MO