Petia J Ivanoff, PMHNP in Springfield, MO - Medicare Nurse Practitioner

Petia J Ivanoff, PMHNP is a medicare enrolled "Nurse Practitioner - Psychiatric/mental Health" in Springfield, Missouri. Her current practice location is 1300 E Bradford Pkwy, Springfield, Missouri. You can reach out to her office (for appointments etc.) via phone at (417) 761-5000.

Petia J Ivanoff is licensed to practice in Missouri (license number 2023023158) 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 1942985411.

Contact Information

	Petia J Ivanoff, PMHNP
	1300 E Bradford Pkwy, Springfield, MO 65804-4264
	(417) 761-5000
	(417) 761-5011

Map and Direction

Provider's Profile

Full Name	Petia J Ivanoff
Gender	Female
Speciality	Nurse Practitioner - Psychiatric/mental Health
Location	1300 E Bradford Pkwy, Springfield, Missouri
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1942985411
Provider Enumeration Date: 06/21/2023
Last Update Date: 07/13/2023

Medicare PECOS Information:

PECOS PAC ID: 2163884388
Enrollment ID: I20230818002050

Medical Identifiers

Medical identifiers for Petia J Ivanoff such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1942985411	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
163W00000X	Registered Nurse	2007031329 (Missouri)	Secondary
363LP0808X	Nurse Practitioner - Psychiatric/mental Health	2023023158 (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. Petia J Ivanoff allows following entities to bill medicare on her behalf.

Entity Name	Burrell, Inc.
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1275541740 PECOS PAC ID: 4486548625 Enrollment ID: O20040210000372

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. Petia J Ivanoff 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
Petia J Ivanoff, PMHNP 2885 W Battlefield St, Springfield, MO 65807-3952 Ph: (417) 761-5214	Petia J Ivanoff, PMHNP 1300 E Bradford Pkwy, Springfield, MO 65804-4264 Ph: (417) 761-5000

Reviews and Comments

Nurse Practitioner Nurses in Springfield, MO

Ven Thi Lam, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 2828 N National Ave, Springfield, MO 65803 Phone: 417-837-4000 Fax: 417-875-4720
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Mrs. Cassondra Dawn Simmoneau, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 3800 S National Ave Ste 510, Springfield, MO 65807 Phone: 417-875-3000
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Ms. Jennifer L. Passanise, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1965 S Fremont Ave, Springfield, MO 65804 Phone: 417-820-5150 Fax: 417-820-5155
Sally R Schafer, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1423 N Jefferson Ave, Springfield, MO 65802 Phone: 417-269-4636 Fax: 417-269-7036

Petia J Ivanoff, PMHNP - Medicare Nurse Practitioner in Springfield, MO