Kaisha Renee Hooper, is a medicare enrolled "Nurse Practitioner - Family" in Walker, Missouri. Her current practice location is
25014 E Mission Rd, Walker, Missouri. You can reach out to her office (for appointments etc.) via phone at
(417) 296-2821.
Kaisha Renee Hooper is licensed to practice in Missouri (license number 2024003383) 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 1972366524.
Provider's Profile
| Full Name | Kaisha Renee Hooper |
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| Gender | Female |
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| Speciality | Nurse Practitioner - Family |
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| Location | 25014 E Mission Rd, Walker, Missouri |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1972366524
- Provider Enumeration Date: 02/05/2024
- Last Update Date: 02/05/2024
Medicare PECOS Information:
- PECOS PAC ID: 3274971445
- Enrollment ID: I20240406000181
Medical Identifiers
Medical identifiers for Kaisha Renee Hooper such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1972366524 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 363LF0000X | Nurse Practitioner - Family | 2024003383 (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. Kaisha Renee Hooper allows following entities to bill medicare on her behalf.
| Entity Name | Citizens Memorial Healthcare |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1568566131
PECOS PAC ID: 4183528169
Enrollment ID: O20040315001374 |
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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. Kaisha Renee Hooper 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 |
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Kaisha Renee Hooper,
322 E Hospital Rd,
El Dorado Springs, MO 64744-2022
Ph: (417) 876-2118 | Kaisha Renee Hooper,
25014 E Mission Rd,
Walker, MO 64790-8449
Ph: (417) 296-2821 |
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