Lisa Marie Potthoff, NP-C in Springfield, MO - Medicare Nurse Practitioner

Lisa Marie Potthoff, NP-C is a medicare enrolled "Nurse Practitioner" in Springfield, Missouri. Her current practice location is 3801 S National Ave Ste 900, Springfield, Missouri. You can reach out to her office (for appointments etc.) via phone at (417) 875-3087.

Lisa Marie Potthoff is licensed to practice in Missouri (license number 2023000172) 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 1629782479.

Contact Information

	Lisa Marie Potthoff, NP-C
	3801 S National Ave Ste 900, Springfield, MO 65807-5210
	(417) 875-3087
	(417) 875-3594

Map and Direction

Provider's Profile

Full Name	Lisa Marie Potthoff
Gender	Female
Speciality	Nurse Practitioner
Location	3801 S National Ave Ste 900, Springfield, Missouri
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1629782479
Provider Enumeration Date: 01/06/2023
Last Update Date: 02/15/2023

Medicare PECOS Information:

PECOS PAC ID: 1254702673
Enrollment ID: I20230123002684

Medical Identifiers

Medical identifiers for Lisa Marie Potthoff such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1629782479	NPI	-	NPPES
420118950	Medicaid	MO

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363L00000X	Nurse Practitioner	2023000172 (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. Lisa Marie Potthoff allows following entities to bill medicare on her behalf.

Entity Name	Lester E Cox Medical Centers
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1750036703 PECOS PAC ID: 1254248917 Enrollment ID: O20220509000988

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. Lisa Marie Potthoff 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
Lisa Marie Potthoff, NP-C Po Box 802843, Kansas City, MO 64180-2843 Ph: () -	Lisa Marie Potthoff, NP-C 3801 S National Ave Ste 900, Springfield, MO 65807-5210 Ph: (417) 875-3087

Reviews and Comments

Nurse Practitioner Nurses in Springfield, MO

Ven Thi Lam, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 2828 N National Ave, Springfield, MO 65803 Phone: 417-837-4000 Fax: 417-875-4720
Mrs. Erin Elizabeth Duvall, APRN, FNP-C, PMHNP-B Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1901 E Bennett - B, Springfield, MO 65804 Phone: 417-619-4129
Michelle Spencer, FNP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 2750 S Campbell Ave, Springfield, MO 65807 Phone: 417-269-2281 Fax: 417-269-2292
Mrs. Cassondra Dawn Simmoneau, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 3800 S National Ave Ste 510, Springfield, MO 65807 Phone: 417-875-3000
Beverly Jo Gann, RNC,WHNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 2828 N National Ave, Doctors Hospital Of Springfield, Specialty Clinic, Springfield, MO 65803 Phone: 417-837-4000 Fax: 417-875-4724
Ms. Jennifer L. Passanise, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1965 S Fremont Ave, Springfield, MO 65804 Phone: 417-820-5150 Fax: 417-820-5155
Sally R Schafer, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1423 N Jefferson Ave, Springfield, MO 65802 Phone: 417-269-4636 Fax: 417-269-7036

Lisa Marie Potthoff, NP-C - Medicare Nurse Practitioner in Springfield, MO