Devon T Knupp, FNP in Saint Louis, MO - Medicare Nurse Practitioner

Devon T Knupp, FNP is a medicare enrolled "Nurse Practitioner - Family" in Saint Louis, Missouri. His current practice location is 10426 Baur Blvd, Saint Louis, Missouri. You can reach out to his office (for appointments etc.) via phone at (314) 925-0903.

Devon T Knupp is licensed to practice in Missouri (license number 2023024713) 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 1063105120.

Contact Information

	Devon T Knupp, FNP
	10426 Baur Blvd, Saint Louis, MO 63132-1905
	(314) 925-0903
	Not Available

Map and Direction

Provider's Profile

Full Name	Devon T Knupp
Gender	Male
Speciality	Nurse Practitioner - Family
Location	10426 Baur Blvd, Saint Louis, Missouri
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1063105120
Provider Enumeration Date: 06/02/2023
Last Update Date: 06/29/2023

Medicare PECOS Information:

PECOS PAC ID: 9032577812
Enrollment ID: I20230627001126

Medical Identifiers

Medical identifiers for Devon T Knupp such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1063105120	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	2023024713 (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. Devon T Knupp allows following entities to bill medicare on his behalf.

Entity Name	Generation Clinical Partners Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1104235241 PECOS PAC ID: 1557687803 Enrollment ID: O20150303001785

Entity Name	Sound Physicians Of Illinois Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1043598865 PECOS PAC ID: 1557533734 Enrollment ID: O20170519000666

Entity Name	Pai Participant 1 Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1093371312 PECOS PAC ID: 8123351954 Enrollment ID: O20210503000979

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. Devon T Knupp 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
Devon T Knupp, FNP 2326 Windsor Castle Dr, Imperial, MO 63052-2014 Ph: (636) 692-3012	Devon T Knupp, FNP 10426 Baur Blvd, Saint Louis, MO 63132-1905 Ph: (314) 925-0903

Reviews and Comments

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Mrs. Anna Ouida Barton, WHNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 9450 Manchester Rd Ste 206, Saint Louis, MO 63119 Phone: 314-725-9300
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Mrs. Michelle Marie Bloom, ACNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1 Barnes Jewish Hospital Plz, Dept Anesthesiology, Saint Louis, MO 63110 Phone: 800-862-9980 Fax: 314-362-1185

Devon T Knupp, FNP - Medicare Nurse Practitioner in Saint Louis, MO