Delores A Vandergrift, FNP in Carthage, MO - Medicare Nurse Practitioner

Delores A Vandergrift, FNP is a medicare enrolled "Nurse Practitioner - Family" in Carthage, Missouri. Her current practice location is 2425 Fairlawn Dr, Carthage, Missouri. You can reach out to her office (for appointments etc.) via phone at (417) 237-0604.

Delores A Vandergrift is licensed to practice in Missouri (license number 079678) 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 1790723260.

Contact Information

	Delores A Vandergrift, FNP
	2425 Fairlawn Dr, Carthage, MO 64836-3517
	(417) 237-0604
	(417) 237-0613

Map and Direction

Provider's Profile

Full Name	Delores A Vandergrift
Gender	Female
Speciality	Nurse Practitioner - Family
Location	2425 Fairlawn Dr, Carthage, Missouri
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1790723260
Provider Enumeration Date: 06/04/2006
Last Update Date: 11/19/2014

Medicare PECOS Information:

PECOS PAC ID: 0749246213
Enrollment ID: I20041207000022

Medical Identifiers

Medical identifiers for Delores A Vandergrift such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1790723260	NPI	-	NPPES
1790723260	Medicaid	MO

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	079678 (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. Delores A Vandergrift allows following entities to bill medicare on her behalf.

Entity Name	Sacry Family Medicine Pc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1265684476 PECOS PAC ID: 0840351649 Enrollment ID: O20081212000032

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. Delores A Vandergrift 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
Delores A Vandergrift, FNP 2425 Fairlawn Dr, Carthage, MO 64836-3517 Ph: (417) 237-0604	Delores A Vandergrift, FNP 2425 Fairlawn Dr, Carthage, MO 64836-3517 Ph: (417) 237-0604

Reviews and Comments

Nurse Practitioner Nurses in Carthage, MO

Crystal Campbell, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2600 S River St, Carthage, MO 64836 Phone: 417-359-7020
Jill Lynn Feurt, CNM FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1515 Hazel St, Suite 101, Carthage, MO 64836 Phone: 417-358-0188 Fax: 417-358-4162
Rhonda Olvera, APRN-BC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1911 Buena Vista Ave, Carthage, MO 64836 Phone: 417-237-0983 Fax: 417-237-0983
Gretchen Anette Barone, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 3125 Dr Russell Smith Way, Carthage, MO 64836 Phone: 417-358-8121
Joy Annette Mayfield, RN FNP C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 3125 Dr Russell Smith Way, Carthage, MO 64836 Phone: 417-358-8121
Joan Marie Dutton, ACNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 3125 Dr Russell Smith Way, Carthage, MO 64836 Phone: 417-825-1718
Jill A Parmley, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 3125 Dr Russell Smith Way, Carthage, MO 64836 Phone: 417-359-1821 Fax: 417-359-2694

Delores A Vandergrift, FNP - Medicare Nurse Practitioner in Carthage, MO