Sophia Mazhou, in Kennett, MO - Medicare Nurse Practitioner

Sophia Mazhou, is a medicare enrolled "Nurse Practitioner - Psychiatric/mental Health" in Kennett, Missouri. Her current practice location is 901 W Commercial St, Kennett, Missouri. You can reach out to her office (for appointments etc.) via phone at (870) 489-8633.

Sophia Mazhou is licensed to practice in Missouri (license number 2023034767) 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 1801657853.

Contact Information

	Sophia Mazhou,
	901 W Commercial St, Kennett, MO 63857-1100
	(870) 489-8633
	Not Available

Map and Direction

Provider's Profile

Full Name	Sophia Mazhou
Gender	Female
Speciality	Nurse Practitioner - Psychiatric/mental Health
Location	901 W Commercial St, Kennett, Missouri
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1801657853
Provider Enumeration Date: 01/17/2024
Last Update Date: 01/17/2024

Medicare PECOS Information:

PECOS PAC ID: 1658717061
Enrollment ID: I20240307002972

Medical Identifiers

Medical identifiers for Sophia Mazhou such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1801657853	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LP0808X	Nurse Practitioner - Psychiatric/mental Health	209028551 (Illinois)	Secondary
363LP0808X	Nurse Practitioner - Psychiatric/mental Health	2023034767 (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. Sophia Mazhou allows following entities to bill medicare on her behalf.

Entity Name	Mcpherson Medical & Diagnostic Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1003407883 PECOS PAC ID: 5698773539 Enrollment ID: O20061201000167

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. Sophia Mazhou 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
Sophia Mazhou, 2010 Castlebar Dr, Saint Louis, MO 63146-3731 Ph: (314) 406-0155	Sophia Mazhou, 901 W Commercial St, Kennett, MO 63857-1100 Ph: (870) 489-8633

Reviews and Comments

Nurse Practitioner Nurses in Kennett, MO

Brittnay Mossman, CNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 211 Teaco Rd, Kennett, MO 63857 Phone: 573-888-0001
Savannah Coin, NURSE PRACTITIONER Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1301 1st St, Kennett, MO 63857 Phone: 573-888-8413
Mrs. Sharon Ann Payne, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 501 Teaco Rd, Ste B, Kennett, MO 63857 Phone: 573-888-8828 Fax: 573-888-8849
Ginger L Smith, APRN NP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 211 Teaco Rd, Kennett, MO 63857 Phone: 573-888-0001 Fax: 573-888-0006
Mrs. Connie Lynne Gurley, APRN-BC, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1231 1st St, Suite 5, Kennett, MO 63857 Phone: 573-888-8690 Fax: 573-717-1085
Jennifer Leann Bader, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 920 Kennett St, Kennett, MO 63857 Phone: 573-717-1130
Kristina Lynn Wadley, FNP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 304 Teaco Rd, Kennett, MO 63857 Phone: 573-559-3591

Sophia Mazhou, - Medicare Nurse Practitioner in Kennett, MO