Marlisa G Mcgowan, PNP-C - Medicare Nurse Practitioner in Mountain Grove, MO

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Marlisa G Mcgowan, PNP-C is a medicare enrolled "Nurse Practitioner - Pediatrics" in Mountain Grove, Missouri. Her current practice location is 120 W 16th St, Mountain Grove, Missouri. You can reach out to her office (for appointments etc.) via phone at (417) 926-6111.

Marlisa G Mcgowan is licensed to practice in Missouri (license number 2015018288) 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 1295119220.

Contact Information

Marlisa G Mcgowan, PNP-C
120 W 16th St,
Mountain Grove, MO 65711-1039
(417) 926-6111
(417) 926-6115

Map and Direction




Provider's Profile

Full NameMarlisa G Mcgowan
GenderFemale
SpecialityNurse Practitioner - Pediatrics
Location120 W 16th St, Mountain Grove, Missouri
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1295119220
  • Provider Enumeration Date: 07/20/2015
  • Last Update Date: 11/20/2015
  Medicare PECOS Information:
  • PECOS PAC ID: 4981911146
  • Enrollment ID: I20150921001395

Medical Identifiers

Medical identifiers for Marlisa G Mcgowan such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1295119220NPI-NPPES
1295119220MedicaidMO

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LP0200XNurse Practitioner - Pediatrics 2015018288 (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. Marlisa G Mcgowan allows following entities to bill medicare on her behalf.
Entity NameMercy Clinic Springfield Communities
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1245277631
PECOS PAC ID: 7416865845
Enrollment ID: O20031104000060
Entity NameMercy Clinic Springfield Communities
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1972771657
PECOS PAC ID: 7416865845
Enrollment ID: O20031218000354

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. Marlisa G Mcgowan 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 AddressPractice Location Address
Marlisa G Mcgowan, PNP-C
Po Box 505164,
Saint Louis, MO 63150-5164

Ph: (417) 829-4620		Marlisa G Mcgowan, PNP-C
120 W 16th St,
Mountain Grove, MO 65711-1039

Ph: (417) 926-6111

Reviews and Comments


Nurse Practitioner Nurses in Mountain Grove, MO

Mrs. Christy Lin Bramwell, FNP
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 1905 W 19th St, Mountain Grove, MO 65711
Phone: 417-926-1770    Fax: 417-926-1785
Jenna Cravens, FNP
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 1602a N Main St, Mountain Grove, MO 65711
Phone: 417-269-2350    Fax: 417-926-5626
Ashlynn Vonderheide, FNP-C
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 120 W 16th St, Mountain Grove, MO 65711
Phone: 417-926-6111    
Elaine Joetta Luna, FNP
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 120 W 16th St, Mountain Grove, MO 65711
Phone: 417-926-6111    
Mary Johnson, NP
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 120 W 16th St, Mountain Grove, MO 65711
Phone: 417-926-6111    
Heather Danielle Friend, APRN, FNP
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 205 W 3rd St Ste 3, Mountain Grove, MO 65711
Phone: 417-926-3743    Fax: 417-926-7625

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.