Sandra Lee Mitkos, FNP in Potosi, MO - Medicare Nurse Practitioner

Sandra Lee Mitkos, FNP is a medicare enrolled "Nurse Practitioner - Family" in Potosi, Missouri. Her current practice location is 108 Frizzell St, Potosi, Missouri. You can reach out to her office (for appointments etc.) via phone at (573) 438-5408.

Sandra Lee Mitkos is licensed to practice in Missouri (license number 2009036279) 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 1790015527.

Contact Information

	Sandra Lee Mitkos, FNP
	108 Frizzell St, Potosi, MO 63664-1505
	(573) 438-5408
	(573) 438-2419

Map and Direction

Provider's Profile

Full Name	Sandra Lee Mitkos
Gender	Female
Speciality	Nurse Practitioner - Family
Location	108 Frizzell St, Potosi, Missouri
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1790015527
Provider Enumeration Date: 12/29/2009
Last Update Date: 04/25/2018

Medicare PECOS Information:

PECOS PAC ID: 2264666304
Enrollment ID: I20131003000599

Medical Identifiers

Medical identifiers for Sandra Lee Mitkos such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1790015527	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	2009036279 (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. Sandra Lee Mitkos allows following entities to bill medicare on her behalf.

Entity Name	Washington County Memorial Hospital
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1194838821 PECOS PAC ID: 3476456880 Enrollment ID: O20040131000146

Entity Name	Washington County Memorial Hospital
Entity Type	Part A Provider - Critical Access Hospital
Entity Identifiers	NPI Number: 1194838821 PECOS PAC ID: 3476456880 Enrollment ID: O20111103000371

Entity Name	Potosi Emergency Group, Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1881075349 PECOS PAC ID: 0648588541 Enrollment ID: O20150925001293

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. Sandra Lee Mitkos 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
Sandra Lee Mitkos, FNP 300 Health Way Dr, Potosi, MO 63664-1420 Ph: (573) 438-5451	Sandra Lee Mitkos, FNP 108 Frizzell St, Potosi, MO 63664-1505 Ph: (573) 438-5408

Reviews and Comments

Nurse Practitioner Nurses in Potosi, MO

Penny Kaye Grechus, MSN, RN, PMHNP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1 Southtowne Dr, Potosi, MO 63664 Phone: 573-438-7892
Kristin R Jennings, DNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1 Southtowne Dr, Potosi, MO 63664 Phone: 573-438-9355
Mr. Shawn Lenn Geile, APRN FNP BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 108 Frizzell St, Potosi, MO 63664 Phone: 573-438-8500 Fax: 573-438-8787
Jessica Lynn Holland, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1 Southtowne Dr, Potosi, MO 63664 Phone: 572-438-9355
Deirdre L Nivens, FAMILY NURSE PRACITI Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 200 Health Way Dr, Potosi, MO 63664 Phone: 573-438-2977 Fax: 573-438-2874
Kallie Belfield, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 300 Health Way Dr, Potosi, MO 63664 Phone: 573-438-1778
Donna Yates, RN, BC, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 600 Purcell Dr, Suite B, Potosi, MO 63664 Phone: 573-438-9355 Fax: 573-438-7892

Sandra Lee Mitkos, FNP - Medicare Nurse Practitioner in Potosi, MO