Ms Kathreen Kelli Friend, PEDIATRIC NURSE PRAC in Doniphan, MO

Ms Kathreen Kelli Friend, PEDIATRIC NURSE PRAC is a medicare enrolled "Nurse Practitioner - Pediatrics" in Doniphan, Missouri. Her current practice location is 109 Leroux St, Doniphan, Missouri. You can reach out to her office (for appointments etc.) via phone at (573) 336-2136.

Ms Kathreen Kelli Friend is licensed to practice in Missouri (license number 2002019510) 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 1508005562.

Contact Information

	Ms Kathreen Kelli Friend, PEDIATRIC NURSE PRAC
	109 Leroux St, Doniphan, MO 63935-1038
	(573) 336-2136
	Not Available

Map and Direction

Provider's Profile

Full Name	Ms Kathreen Kelli Friend
Gender	Female
Speciality	Nurse Practitioner - Pediatrics
Location	109 Leroux St, Doniphan, Missouri
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1508005562
Provider Enumeration Date: 02/16/2009
Last Update Date: 10/02/2012

Medicare PECOS Information:

PECOS PAC ID: 3870830474
Enrollment ID: I20190118002887

Medical Identifiers

Medical identifiers for Ms Kathreen Kelli Friend such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1508005562	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LP0200X	Nurse Practitioner - Pediatrics	2002019510 (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. Ms Kathreen Kelli Friend allows following entities to bill medicare on her behalf.

Entity Name	Big Springs Medical Association
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1225045321 PECOS PAC ID: 6709871007 Enrollment ID: O20040416000695

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. Ms Kathreen Kelli Friend 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
Ms Kathreen Kelli Friend, PEDIATRIC NURSE PRAC 309 Sunny Acres Dr, Doniphan, MO 63935-1546 Ph: (573) 996-5292	Ms Kathreen Kelli Friend, PEDIATRIC NURSE PRAC 109 Leroux St, Doniphan, MO 63935-1038 Ph: (573) 336-2136

Reviews and Comments

Nurse Practitioner Nurses in Doniphan, MO

Ms. Ida Mccrae, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1 Hospital Dr, Doniphan, MO 63935 Phone: 573-996-7148 Fax: 573-996-4041
Bonita Hill, FNP-BC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 109 Plum St, Doniphan, MO 63935 Phone: 573-996-2141
Mrs. Jennifer Lynn Smith, FNP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 109 Leroux St, Doniphan, MO 63935 Phone: 573-996-2136
Mrs. Holly Maria Adams, MSN, FNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 109 Leroux St, Doniphan, MO 63935 Phone: 573-996-2136 Fax: 573-996-3105
Mrs. Tina Marie Moe, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 109 Leroux Drive, Doniphan, MO 63935 Phone: 573-996-2136 Fax: 573-996-3105

Ms Kathreen Kelli Friend, PEDIATRIC NURSE PRAC - Medicare Nurse Practitioner in Doniphan, MO