Staci E Dixon, DO in Springfield, MO - Medicare Family Practice

Staci E Dixon, DO is a medicare enrolled "Family Medicine" physician in Springfield, Missouri. She went to Ohio University, College Of Osteopathic Medicine and graduated in 1999 and has 25 years of diverse experience with area of expertise as Family Practice. She is a member of the group practice Mercy Southern Missouri Ambulatory Services Llc and her current practice location is 2120 W Kearney St, Springfield, Missouri. You can reach out to her office (for appointments etc.) via phone at (417) 869-6191.

Staci E Dixon is licensed to practice in Missouri (license number 2008002406) 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 1962436840.

Contact Information

	Staci E Dixon, DO
	2120 W Kearney St, Springfield, MO 65803-1653
	(417) 869-6191
	(417) 869-4131

Map and Direction

Physician's Profile

Full Name	Staci E Dixon
Gender	Female
Speciality	Family Practice
Experience	25 Years
Location	2120 W Kearney St, Springfield, Missouri
Accepts Medicare Assignments	Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Staci E Dixon attended and graduated from Ohio University, College Of Osteopathic Medicine in 1999

NPI Data:

NPI Number: 1962436840
Provider Enumeration Date: 07/10/2006
Last Update Date: 10/02/2014

Medicare PECOS Information:

PECOS PAC ID: 6901840677
Enrollment ID: I20080815000177

Medical Identifiers

Medical identifiers for Staci E Dixon such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1962436840	NPI	-	NPPES
431560263	Other		TRICARE WEST
1962436840	Medicaid	MO
2268997	Medicaid	OH

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207Q00000X	Family Medicine	2008002406 (Missouri)	Primary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Mercy Southern Missouri Ambulatory Services Llc	5193089621	36

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. Staci E Dixon allows following entities to bill medicare on her behalf.

Entity Name	Mercy Clinic Springfield Communities
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1245277631 PECOS PAC ID: 7416865845 Enrollment ID: O20031104000060

Entity Name	Mercy Clinic Springfield Communities
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1972771657 PECOS PAC ID: 7416865845 Enrollment ID: O20031218000354

Entity Name	Mercy Southern Missouri Ambulatory Services Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1871094052 PECOS PAC ID: 5193089621 Enrollment ID: O20180508002317

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. Staci E Dixon 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
Staci E Dixon, DO Po Box 505164, Saint Louis, MO 63150-5164 Ph: (417) 829-4620	Staci E Dixon, DO 2120 W Kearney St, Springfield, MO 65803-1653 Ph: (417) 869-6191

Reviews and Comments

Family Medicine Doctors in Springfield, MO

Shalvinder Kaur Seehra, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 3525 E Battlefield St, Springfield, MO 65809 Phone: 417-269-1499 Fax: 417-269-1459
Harwinder K Dhanoa, Family Medicine Medicare: Medicare Enrolled Practice Location: 1540 E Evergreen St, Springfield, MO 65803 Phone: 417-823-2900
Thomas E Dahlberg, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 3322 S Campbell Ave Ste T-1, Springfield, MO 65807 Phone: 417-220-4480 Fax: 417-414-0017
Dr. John H Brown, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 3231 S National Ave, Suite 280, Springfield, MO 65807 Phone: 417-885-0834 Fax: 417-888-6763
Dr. Jay L Sparks, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 3231 S National Ave, Suite 220, Springfield, MO 65807 Phone: 417-820-7450 Fax: 417-820-7455
Dr. Conrad Mitchell Bajor, D.O. Family Medicine Medicare: Medicare Enrolled Practice Location: 1235 E Cherokee St, Springfield, MO 65804 Phone: 417-820-2600
Dr. William Russell Detten, D.O. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1530 E Republic Rd, Springfield, MO 65804 Phone: 417-269-1362 Fax: 417-269-1372

Staci E Dixon, DO - Medicare Family Practice in Springfield, MO