Mrs Kelly Marie Pantazo, NP-C - Medicare Nurse Practitioner in Imperial, MO

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Mrs Kelly Marie Pantazo, NP-C is a medicare enrolled "Nurse Practitioner - Family" in Imperial, Missouri. She graduated from nursing school in 2018 and has 6 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Mercy Clinic Palliative Care Llc and her current practice location is 3647 Kneff Farm Xing, Imperial, Missouri. You can reach out to her office (for appointments etc.) via phone at (314) 882-1978.

Mrs Kelly Marie Pantazo is licensed to practice in Missouri (license number 2018024080) 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 1306326855.

Contact Information

Mrs Kelly Marie Pantazo, NP-C
3647 Kneff Farm Xing,
Imperial, MO 63052-2887
(314) 882-1978
Not Available

Map and Direction




Provider's Profile

Full NameMrs Kelly Marie Pantazo
GenderFemale
SpecialityNurse Practitioner
Experience6 Years
Location3647 Kneff Farm Xing, Imperial, Missouri
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Mrs Kelly Marie Pantazo graduated from nursing school in 2018
  NPI Data:
  • NPI Number: 1306326855
  • Provider Enumeration Date: 08/15/2018
  • Last Update Date: 08/15/2018
  Medicare PECOS Information:
  • PECOS PAC ID: 4587909619
  • Enrollment ID: I20181218003254

Medical Identifiers

Medical identifiers for Mrs Kelly Marie Pantazo such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1306326855NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LF0000XNurse Practitioner - Family 2018024080 (Missouri)Primary

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Mercy Clinic Palliative Care Llc094137373214

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 Kelly Marie Pantazo 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
Entity NameMercy Clinic Palliative Care Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1487815643
PECOS PAC ID: 0941373732
Enrollment ID: O20080728000283
Entity NameMercy Aco Clinical Services Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1063965093
PECOS PAC ID: 6901188572
Enrollment ID: O20170117001888

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 Kelly Marie Pantazo 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
Mrs Kelly Marie Pantazo, NP-C
3647 Kneff Farm Xing,
Imperial, MO 63052-2887

Ph: (314) 882-1978		Mrs Kelly Marie Pantazo, NP-C
3647 Kneff Farm Xing,
Imperial, MO 63052-2887

Ph: (314) 882-1978

Reviews and Comments


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Emmanuelson Chukwuyem, APRN
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Phone: 636-741-3130    Fax: 636-741-3131
Mrs. Abbriel Peppler, NP
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Mrs. Ashley Nicole Glaus, MSN, FNP-C
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Phone: 636-741-3130    

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.