Kelli K Hoffman, FNP is a medicare enrolled "Nurse Practitioner - Family" in Lathrop, Missouri. Her current practice location is
106 North St, Lathrop, Missouri. You can reach out to her office (for appointments etc.) via phone at
(816) 740-3282.
Kelli K Hoffman is licensed to practice in Missouri (license number 2012039957) 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 1639414725.
Provider's Profile
| Full Name | Kelli K Hoffman |
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| Gender | Female |
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| Speciality | Nurse Practitioner - Family |
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| Location | 106 North St, Lathrop, 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: 1639414725
- Provider Enumeration Date: 11/30/2012
- Last Update Date: 11/30/2012
Medicare PECOS Information:
- PECOS PAC ID: 9335393545
- Enrollment ID: I20130215000217
Medical Identifiers
Medical identifiers for Kelli K Hoffman such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1639414725 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 363LF0000X | Nurse Practitioner - Family | 2012039957 (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. Kelli K Hoffman allows following entities to bill medicare on her behalf.
| Entity Name | Excelsior Springs Physician Clinic Llc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1811232796
PECOS PAC ID: 8325283922
Enrollment ID: O20130403000073 |
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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. Kelli K Hoffman 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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Kelli K Hoffman, FNP
1600 E Evergreen St,
Cameron, MO 64429-2400
Ph: (816) 632-2101 | Kelli K Hoffman, FNP
106 North St,
Lathrop, MO 64465-9609
Ph: (816) 740-3282 |
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