Kenzie Suzette Gant, DNP, FNP in Wagner, SD - Medicare Nurse Practitioner

Kenzie Suzette Gant, DNP, FNP is a medicare enrolled "Nurse Practitioner - Family" in Wagner, South Dakota. Her current practice location is 111 Washington Ave Nw, Wagner, South Dakota. You can reach out to her office (for appointments etc.) via phone at (605) 384-3621.

Kenzie Suzette Gant is licensed to practice in South Dakota (license number CP002187) 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 1750001970.

Contact Information

	Kenzie Suzette Gant, DNP, FNP
	111 Washington Ave Nw, Wagner, SD 57380-4300
	(605) 384-3621
	Not Available

Map and Direction

Provider's Profile

Full Name	Kenzie Suzette Gant
Gender	Female
Speciality	Nurse Practitioner - Family
Location	111 Washington Ave Nw, Wagner, South Dakota
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1750001970
Provider Enumeration Date: 08/29/2022
Last Update Date: 03/27/2024

Medicare PECOS Information:

PECOS PAC ID: 6709242969
Enrollment ID: I20230515001945

Medical Identifiers

Medical identifiers for Kenzie Suzette Gant such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1750001970	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LP2300X	Nurse Practitioner - Primary Care	CP002187 (South Dakota)	Secondary
363LF0000X	Nurse Practitioner - Family	CP002187 (South Dakota)	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. Kenzie Suzette Gant allows following entities to bill medicare on her behalf.

Entity Name	Wagner Indian Health Service Health Center
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1326066796 PECOS PAC ID: 6305758483 Enrollment ID: O20031105000746

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. Kenzie Suzette Gant 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
Kenzie Suzette Gant, DNP, FNP 610 Main Ave, Geddes, SD 57342-2206 Ph: (605) 212-8495	Kenzie Suzette Gant, DNP, FNP 111 Washington Ave Nw, Wagner, SD 57380-4300 Ph: (605) 384-3621

Reviews and Comments

Nurse Practitioner Nurses in Wagner, SD

Lindsey Nedved, NP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 513 3rd St Sw, Wagner, SD 57380 Phone: 605-384-3611
Carol Lee Stewart, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 513 3rd Street Sw, Wagner, SD 57380 Phone: 605-384-3611
Ashley Marie Ruhaak, CNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 513 3rd St Sw, Wagner, SD 57380 Phone: 605-384-3611
Jazmyn Soukup, DNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 513 3rd St Sw, Wagner, SD 57380 Phone: 605-384-3611
Jessica M Vanderham, CNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 513 3rd St Sw, Wagner, SD 57380 Phone: 605-384-3611
Brooke Lynn Plooster, CNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 513 3rd St Sw, Wagner, SD 57380 Phone: 605-384-3611 Fax: 605-384-5240
Ryan Kocer, CNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 513 3rd St Sw, Wagner, SD 57380 Phone: 605-384-3611

Kenzie Suzette Gant, DNP, FNP - Medicare Nurse Practitioner in Wagner, SD