Kristi Lee Lickteig, ARNP, PMHNP is a medicare enrolled "Nurse Practitioner - Psychiatric/mental Health" in Garnett, Kansas. She graduated from nursing school in 2020 and has 4 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Southeast Kansas Mental Health Center and her current practice location is
18975 Nw 1600th Rd, Garnett, Kansas. You can reach out to her office (for appointments etc.) via phone at
(316) 299-3570.
Kristi Lee Lickteig is licensed to practice in Kansas (license number 53-79644-092) and she also participates in the medicare program. She
accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1437770559.
Provider's Profile
| Full Name | Kristi Lee Lickteig |
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| Gender | Female |
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| Speciality | Nurse Practitioner |
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| Experience | 4 Years |
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| Location | 18975 Nw 1600th Rd, Garnett, Kansas |
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| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Kristi Lee Lickteig graduated from nursing school in 2020
NPI Data:
- NPI Number: 1437770559
- Provider Enumeration Date: 04/29/2020
- Last Update Date: 09/20/2020
Medicare PECOS Information:
- PECOS PAC ID: 9537552211
- Enrollment ID: I20220201000694
Medical Identifiers
Medical identifiers for Kristi Lee Lickteig such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1437770559 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 163WP0808X | Registered Nurse - Psychiatric/mental Health | 13-110435 (Kansas) | Secondary |
| 363LP0808X | Nurse Practitioner - Psychiatric/mental Health | 53-79644-092 (Kansas) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| Southeast Kansas Mental Health Center | 3870562879 | 39 |
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. Kristi Lee Lickteig allows following entities to bill medicare on her behalf.
| Entity Name | Southeast Kansas Mental Health Center |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1467414771
PECOS PAC ID: 3870562879
Enrollment ID: O20040927001008 |
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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. Kristi Lee Lickteig 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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Kristi Lee Lickteig, ARNP, PMHNP
13 Timber Lake Rd,
Lane, KS 66042-9350
Ph: (316) 299-3570 | Kristi Lee Lickteig, ARNP, PMHNP
18975 Nw 1600th Rd,
Garnett, KS 66032-8285
Ph: (316) 299-3570 |
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