Tina Marie Legault, AGNP - Medicare Nurse Practitioner in Overland Park, KS

Tina Marie Legault, AGNP is a medicare enrolled "Nurse Practitioner - Adult Health" in Overland Park, Kansas. She graduated from nursing school in 2021 and has 3 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Saint Lukes Physician Group Inc, Saint Lukes Physician Group Inc and her current practice location is 12330 Metcalf Ave Ste 580, Overland Park, Kansas. You can reach out to her office (for appointments etc.) via phone at (913) 317-3230.

Tina Marie Legault is licensed to practice in Kansas (license number 5380970) 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 1417602707.

Contact Information

Tina Marie Legault, AGNP
12330 Metcalf Ave Ste 580,
Overland Park, KS 66213-1308
(913) 317-3230
Not Available

Map and Direction




Provider's Profile

Full NameTina Marie Legault
GenderFemale
SpecialityNurse Practitioner
Experience3 Years
Location12330 Metcalf Ave Ste 580, Overland Park, Kansas
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Tina Marie Legault graduated from nursing school in 2021
  NPI Data:
  • NPI Number: 1417602707
  • Provider Enumeration Date: 02/16/2022
  • Last Update Date: 04/21/2022
  Medicare PECOS Information:
  • PECOS PAC ID: 6406243369
  • Enrollment ID: I20220422000895

Medical Identifiers

Medical identifiers for Tina Marie Legault such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1417602707NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LA2200XNurse Practitioner - Adult Health 2022007298 (Missouri)Secondary
363LA2200XNurse Practitioner - Adult Health TMP-160593 (Kansas)Secondary
363LA2200XNurse Practitioner - Adult Health 5380970 (Kansas)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
St Lukes Hospital Of Kansas CityKansas city, MOHospital
Saint Luke's South HospitalOverland park, KSHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Saint Lukes Physician Group Inc35774768941052
Saint Lukes Physician Group Inc35774768941052

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. Tina Marie Legault allows following entities to bill medicare on her behalf.
Entity NameSaint Lukes Physician Group Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1093263717
PECOS PAC ID: 3577476894
Enrollment ID: O20050302000266

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. Tina Marie Legault 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 AddressPractice Location Address
Tina Marie Legault, AGNP
901 E 104th St, Mailstop 400s,
Kansas City, MO 64131

Ph: (913) 317-3230
Tina Marie Legault, AGNP
12330 Metcalf Ave Ste 580,
Overland Park, KS 66213-1308

Ph: (913) 317-3230

Reviews and Comments


Nurse Practitioner Nurses in Overland Park, KS

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Miss Shari J Fisher, FNP
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Carrie L Englert, ANP-C, AOCNP
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Medicare: Accepting Medicare Assignments
Practice Location: 12200 W 110th St, Overland Park, KS 66210
Phone: 913-574-2650    Fax: 913-574-2769

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.