Mrs Mary Lee Pantess, NP in Louisville, KY - Medicare Nurse Practitioner

Mrs Mary Lee Pantess, NP is a medicare enrolled "Nurse Practitioner" in Louisville, Kentucky. Her current practice location is 3934 Dixie Hwy Ste 420, Louisville, Kentucky. You can reach out to her office (for appointments etc.) via phone at (502) 200-1335.

Mrs Mary Lee Pantess is licensed to practice in Kentucky (license number 4004705) 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 1043996911.

Contact Information

	Mrs Mary Lee Pantess, NP
	3934 Dixie Hwy Ste 420, Louisville, KY 40216-5162
	(502) 200-1335
	(866) 715-7614

Map and Direction

Provider's Profile

Full Name	Mrs Mary Lee Pantess
Gender	Female
Speciality	Nurse Practitioner
Location	3934 Dixie Hwy Ste 420, Louisville, Kentucky
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1043996911
Provider Enumeration Date: 06/26/2023
Last Update Date: 05/06/2024

Medicare PECOS Information:

PECOS PAC ID: 8426417411
Enrollment ID: I20230710000748

Medical Identifiers

Medical identifiers for Mrs Mary Lee Pantess such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1043996911	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	4005705 (Kentucky)	Secondary
363LP0808X	Nurse Practitioner - Psychiatric/mental Health	4004705 (Kentucky)	Secondary
363L00000X	Nurse Practitioner	4004705 (Kentucky)	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. Mrs Mary Lee Pantess allows following entities to bill medicare on her behalf.

Entity Name	Kiosk Medicine Kentucky Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1205885035 PECOS PAC ID: 6002887510 Enrollment ID: O20040805001127

Entity Name	Shively First Health Care Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1811775679 PECOS PAC ID: 5496102212 Enrollment ID: O20231115002288

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 Mary Lee Pantess 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
Mrs Mary Lee Pantess, NP 817 S Jackson St, Louisville, KY 40203-2431 Ph: (502) 259-8811	Mrs Mary Lee Pantess, NP 3934 Dixie Hwy Ste 420, Louisville, KY 40216-5162 Ph: (502) 200-1335

Reviews and Comments

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Mrs Mary Lee Pantess, NP - Medicare Nurse Practitioner in Louisville, KY