Mrs Michelle Ann Backfisch, CNP is a medicare enrolled "Nurse Practitioner - Family" in Scott City, Missouri. She graduated from nursing school in 2019 and has 6 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Southeast Missouri Hospital Physicians Llc and her current practice location is
2102 Main St, Scott City, Missouri. You can reach out to her office (for appointments etc.) via phone at
(573) 264-0042.
Mrs Michelle Ann Backfisch is licensed to practice in Missouri (license number 2019024732) 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 1639731474.
Provider's Profile
| Full Name | Mrs Michelle Ann Backfisch |
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| Gender | Female |
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| Speciality | Nurse Practitioner |
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| Experience | 6 Years |
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| Location | 2102 Main St, Scott City, 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 Michelle Ann Backfisch graduated from nursing school in 2019
NPI Data:
- NPI Number: 1639731474
- Provider Enumeration Date: 07/02/2019
- Last Update Date: 07/06/2020
Medicare PECOS Information:
- PECOS PAC ID: 4880018530
- Enrollment ID: I20200728001552
Medical Identifiers
Medical identifiers for Mrs Michelle Ann Backfisch such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1639731474 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 363LF0000X | Nurse Practitioner - Family | 2019024732 (Missouri) | Primary |
Medical Facilities Affiliation
| Facility Name | Location | Facility Type |
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| Southeasthealth | Cape girardeau, MO | Hospital |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| Southeast Missouri Hospital Physicians Llc | 9133024334 | 185 |
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 Michelle Ann Backfisch allows following entities to bill medicare on her behalf.
| Entity Name | Southeast Missouri Hospital Physicians Llc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1558311522
PECOS PAC ID: 9133024334
Enrollment ID: O20031201000775 |
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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 Michelle Ann Backfisch 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 Michelle Ann Backfisch, CNP
1318a Main St,
Scott City, MO 63780-1937
Ph: () - | Mrs Michelle Ann Backfisch, CNP
2102 Main St,
Scott City, MO 63780-1337
Ph: (573) 264-0042 |
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