Elizabeth A Dehaven, FNP-BC - Medicare Nurse Practitioner in Fredericktown, MO

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Elizabeth A Dehaven, FNP-BC is a medicare enrolled "Nurse Practitioner - Family" in Fredericktown, Missouri. Her current practice location is 101 Kingsbury Blvd, Fredericktown, Missouri. You can reach out to her office (for appointments etc.) via phone at (573) 561-1555.

Elizabeth A Dehaven is licensed to practice in Missouri (license number 2015021530) 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 1164806592.

Contact Information

Elizabeth A Dehaven, FNP-BC
101 Kingsbury Blvd,
Fredericktown, MO 63645-7959
(573) 561-1555
(573) 783-5951

Map and Direction




Provider's Profile

Full NameElizabeth A Dehaven
GenderFemale
SpecialityNurse Practitioner - Family
Location101 Kingsbury Blvd, Fredericktown, Missouri
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1164806592
  • Provider Enumeration Date: 07/15/2015
  • Last Update Date: 04/04/2019
  Medicare PECOS Information:
  • PECOS PAC ID: 2961716279
  • Enrollment ID: I20150730013159

Medical Identifiers

Medical identifiers for Elizabeth A Dehaven such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1164806592NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LF0000XNurse Practitioner - Family 2015021530 (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. Elizabeth A Dehaven allows following entities to bill medicare on her behalf.
Entity NameCommunity Health Care Associates Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1629286976
PECOS PAC ID: 8123016078
Enrollment ID: O20040713001144

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. Elizabeth A Dehaven 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 AddressPractice Location Address
Elizabeth A Dehaven, FNP-BC
101 Kingsbury Blvd,
Fredericktown, MO 63645-7959

Ph: (573) 561-1555		Elizabeth A Dehaven, FNP-BC
101 Kingsbury Blvd,
Fredericktown, MO 63645-7959

Ph: (573) 561-1555

Reviews and Comments


Nurse Practitioner Nurses in Fredericktown, MO

Mrs. Julie Marie Buford, WHNP, FNP
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Medicare: Accepting Medicare Assignments
Practice Location: 611 West Main Street, Suite E, Fredericktown, MO 63645
Phone: 573-783-3341    Fax: 573-783-1024
Mrs. Brandi Nichole Tabor, APRN
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Medicare: Medicare Enrolled
Practice Location: 735 W Main St, Fredericktown, MO 63645
Phone: 573-783-8875    
Melinda Jo Fischer, RN, BC, FNP
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Medicare: Accepting Medicare Assignments
Practice Location: 611 W Main St, Fredericktown, MO 63645
Phone: 573-783-4111    Fax: 573-783-1096
Jamee Lynn Clark, CPNP-PC
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 735 W Main St, Fredericktown, MO 63645
Phone: 573-783-8875    
Alanna Guess, NP-C
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 611 W Main St, Fredericktown, MO 63645
Phone: 573-783-3341    Fax: 573-783-1096
Mrs. Kelsey Marie Kinneman, A-GNP-C
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 355 N Chamber Dr, Fredericktown, MO 63645
Phone: 573-561-2300    Fax: 573-561-2302

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.