Mrs Angela Sue Creasy, SLP is a medicare enrolled "Speech-language Pathologist" provider in Lake Ozark, Missouri. Her current practice location is
202 Pawnee Rd, Lake Ozark, Missouri. You can reach out to her office (for appointments etc.) via phone at
(309) 255-0517.
Mrs Angela Sue Creasy is licensed to practice in Missouri (license number 115840) 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 1396383113.
Healthcare Provider's Profile
Full Name | Mrs Angela Sue Creasy |
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Gender | Female |
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Speciality | Speech-language Pathologist |
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Location | 202 Pawnee Rd, Lake Ozark, Missouri |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1396383113
- Provider Enumeration Date: 12/11/2019
- Last Update Date: 12/11/2019
Medicare PECOS Information:
- PECOS PAC ID: 1557743192
- Enrollment ID: I20220729000859
Medical Identifiers
Medical identifiers for Mrs Angela Sue Creasy such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1396383113 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
235Z00000X | Speech-language Pathologist | 115840 (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. Mrs Angela Sue Creasy allows following entities to bill medicare on her behalf.
Provider Name | Empowerme Rehabilitation Missouri Llc |
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Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
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Provider Identifiers | NPI Number: 1417479494 PECOS PAC ID: 9234402470 Enrollment ID: O20170908002930 |
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Provider Name | Empowerme Wellness Kansas City Llc |
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Provider Type | Part B Supplier - Clinic/group Practice |
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Provider Identifiers | NPI Number: 1083208391 PECOS PAC ID: 9830504836 Enrollment ID: O20210308002804 |
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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. Mrs Angela Sue Creasy 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 |
Mrs Angela Sue Creasy, SLP 54 Hospital Dr, Osage Beach, MO 65065-3050 Ph: () - | Mrs Angela Sue Creasy, SLP 202 Pawnee Rd, Lake Ozark, MO 65049-4946 Ph: (309) 255-0517 |
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