Kellie Wasson, PMHNP-BC in Saint Louis, MO - Medicare Nurse Practitioner

Kellie Wasson, PMHNP-BC is a medicare enrolled "Nurse Practitioner - Psychiatric/mental Health" in Saint Louis, Missouri. Her current practice location is 2 Cityplace Dr Fl 2, Saint Louis, Missouri. You can reach out to her office (for appointments etc.) via phone at (314) 914-2717.

Kellie Wasson is licensed to practice in Missouri (license number 2024069221) 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 1235957275.

Contact Information

	Kellie Wasson, PMHNP-BC
	2 Cityplace Dr Fl 2, Saint Louis, MO 63141-7390
	(314) 914-2717
	Not Available

Map and Direction

Provider's Profile

Full Name	Kellie Wasson
Gender	Female
Speciality	Nurse Practitioner - Psychiatric/mental Health
Location	2 Cityplace Dr Fl 2, 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: 1235957275
Provider Enumeration Date: 09/30/2024
Last Update Date: 12/17/2024

Medicare PECOS Information:

PECOS PAC ID: 7517493034
Enrollment ID: I20241207000315

Medical Identifiers

Medical identifiers for Kellie Wasson such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1235957275	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LP0808X	Nurse Practitioner - Psychiatric/mental Health	2024069221 (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. Kellie Wasson allows following entities to bill medicare on her behalf.

Entity Name	Aaa Psyche Care Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1760193619 PECOS PAC ID: 8921478140 Enrollment ID: O20230105000223

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. Kellie Wasson 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
Kellie Wasson, PMHNP-BC 2 Cityplace Dr Fl 2, Saint Louis, MO 63141-7390 Ph: (314) 914-2717	Kellie Wasson, PMHNP-BC 2 Cityplace Dr Fl 2, Saint Louis, MO 63141-7390 Ph: (314) 914-2717

Reviews and Comments

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Kellie Wasson, PMHNP-BC - Medicare Nurse Practitioner in Saint Louis, MO