Mrs Dawn Lynette Petty, NP is a medicare enrolled "Nurse Practitioner" in Lee's Summit, Missouri. She graduated from nursing school in 2011 and has 13 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Mid-america Rheumatology Consultants and her current practice location is
20 Ne Saint Lukes Boulevard, Suite #350, Lee's Summit, Missouri. You can reach out to her office (for appointments etc.) via phone at
(816) 524-5333.
Mrs Dawn Lynette Petty is licensed to practice in Kansas (license number 53-75468-111) 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 1134404957.
Provider's Profile
| Full Name | Mrs Dawn Lynette Petty |
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| Gender | Female |
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| Speciality | Nurse Practitioner |
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| Experience | 13 Years |
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| Location | 20 Ne Saint Lukes Boulevard, Lee's Summit, Missouri |
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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:
- Mrs Dawn Lynette Petty graduated from nursing school in 2011
NPI Data:
- NPI Number: 1134404957
- Provider Enumeration Date: 10/12/2011
- Last Update Date: 10/12/2011
Medicare PECOS Information:
- PECOS PAC ID: 0042487704
- Enrollment ID: I20150302000928
Medical Identifiers
Medical identifiers for Mrs Dawn Lynette Petty such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1134404957 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 363L00000X | Nurse Practitioner | 53-75468-111 (Kansas) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| Mid-america Rheumatology Consultants | 1951202852 | 5 |
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. Mrs Dawn Lynette Petty allows following entities to bill medicare on her behalf.
| Entity Name | Mid-america Rheumatology Consultants |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1043204852
PECOS PAC ID: 1951202852
Enrollment ID: O20040114000675 |
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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. Mrs Dawn Lynette Petty 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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Mrs Dawn Lynette Petty, NP
20 Ne Saint Lukes Boulevard, Suite #350,
Lee's Summit, MO 64086-6007
Ph: (816) 524-5333 | Mrs Dawn Lynette Petty, NP
20 Ne Saint Lukes Boulevard, Suite #350,
Lee's Summit, MO 64086-6007
Ph: (816) 524-5333 |
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