Ms Sophia Marie Italiano, FNP in Saint Louis, MO

Ms Sophia Marie Italiano, FNP is a medicare enrolled "Nurse Practitioner - Family" in Saint Louis, Missouri. Her current practice location is 4921 Parkview Pl, Div Surg Urology, Ste 11c, Saint Louis, Missouri. You can reach out to her office (for appointments etc.) via phone at (314) 362-8200.

Ms Sophia Marie Italiano is licensed to practice in Missouri (license number 2023031140) 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 1740064591.

Contact Information

	Ms Sophia Marie Italiano, FNP
	4921 Parkview Pl, Div Surg Urology, Ste 11c, Saint Louis, MO 63110-1032
	(314) 362-8200
	(314) 454-5244

Map and Direction

Provider's Profile

Full Name	Ms Sophia Marie Italiano
Gender	Female
Speciality	Nurse Practitioner - Family
Location	4921 Parkview Pl, Saint Louis, Missouri
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1740064591
Provider Enumeration Date: 08/22/2023
Last Update Date: 04/25/2024

Medicare PECOS Information:

PECOS PAC ID: 4183078454
Enrollment ID: I20230921000535

Medical Identifiers

Medical identifiers for Ms Sophia Marie Italiano such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1740064591	NPI	-	NPPES
420130225	Medicaid	MO

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	2023031140 (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. Ms Sophia Marie Italiano allows following entities to bill medicare on her behalf.

Entity Name	Washington University
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1760425474 PECOS PAC ID: 9830008770 Enrollment ID: O20040315000891

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. Ms Sophia Marie Italiano 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
Ms Sophia Marie Italiano, FNP Po Box 60352, Saint Louis, MO 63160-0352 Ph: (314) 362-8200	Ms Sophia Marie Italiano, FNP 4921 Parkview Pl, Div Surg Urology, Ste 11c, Saint Louis, MO 63110-1032 Ph: (314) 362-8200

Reviews and Comments

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Ms Sophia Marie Italiano, FNP - Medicare Nurse Practitioner in Saint Louis, MO