Debra Kim Lietzke, FNP-C in Blue Springs, MO - Medicare Nurse Practitioner

Debra Kim Lietzke, FNP-C is a medicare enrolled "Nurse Practitioner - Family" in Blue Springs, Missouri. Her current practice location is 201 Nw R D Mize Rd Ste 206, Blue Springs, Missouri. You can reach out to her office (for appointments etc.) via phone at (816) 655-5403.

Debra Kim Lietzke is licensed to practice in Missouri (license number 2021007033) 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 1467051680.

Contact Information

	Debra Kim Lietzke, FNP-C
	201 Nw R D Mize Rd Ste 206, Blue Springs, MO 64014-2513
	(816) 655-5403
	(816) 655-5257

Map and Direction

Provider's Profile

Full Name	Debra Kim Lietzke
Gender	Female
Speciality	Nurse Practitioner - Family
Location	201 Nw R D Mize Rd Ste 206, Blue Springs, Missouri
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1467051680
Provider Enumeration Date: 10/19/2020
Last Update Date: 07/12/2023

Medicare PECOS Information:

PECOS PAC ID: 6103288394
Enrollment ID: I20230821001800

Medical Identifiers

Medical identifiers for Debra Kim Lietzke such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1467051680	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	53-79707-031 (Kansas)	Secondary
363LF0000X	Nurse Practitioner - Family	2021007033 (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. Debra Kim Lietzke allows following entities to bill medicare on her behalf.

Entity Name	Prime Healthcare Kansas City - Physician Services Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1427449487 PECOS PAC ID: 7315267325 Enrollment ID: O20150514001835

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. Debra Kim Lietzke 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
Debra Kim Lietzke, FNP-C 4900 N 126th St, Kansas City, KS 66109-5121 Ph: (816) 509-2052	Debra Kim Lietzke, FNP-C 201 Nw R D Mize Rd Ste 206, Blue Springs, MO 64014-2513 Ph: (816) 655-5403

Reviews and Comments

Nurse Practitioner Nurses in Blue Springs, MO

Ms. Robin L West, ARNP FNP BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1938 Nw Copper Oaks Cir, Blue Springs, MO 64015 Phone: 816-373-4600 Fax: 816-373-4603
Adrienne E Menghini, C.P.N.P. Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1501 Nw Jefferson St, Blue Springs, MO 64015 Phone: 816-228-4770 Fax: 816-228-1156
Kara Roedel, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1223 Sw Eastman Ct, Blue Springs, MO 64015 Phone: 816-500-5289
Rachel Brown, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 3514 Sw Jackson St, Blue Springs, MO 64015 Phone: 816-349-1815
Mary Katherine Eikermann, APRN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 600 Ne Adams Dairy Pkwy, Blue Springs, MO 64014 Phone: 816-932-4630 Fax: 816-932-4631
Stephanie C Adee, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1100 Nw South Outer Rd Ste 200, Blue Springs, MO 64015 Phone: 888-256-3814
Terisa M. Jenkins, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 4715 W Us 40 Hwy, Blue Springs, MO 64015 Phone: 816-229-9118 Fax: 816-463-7107

Debra Kim Lietzke, FNP-C - Medicare Nurse Practitioner in Blue Springs, MO