Mr Steven Edwin Reenan, LPC is a medicare enrolled "Nurse Practitioner - Psychiatric/mental Health" provider in Iberia, Missouri. His current practice location is
986 Highway A, Iberia, Missouri. You can reach out to his office (for appointments etc.) via phone at
(573) 793-2162.
Mr Steven Edwin Reenan is licensed to practice in Missouri (license number 2012004610) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1922052091.
Healthcare Provider's Profile
| Full Name | Mr Steven Edwin Reenan |
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| Gender | Male |
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| Speciality | Nurse Practitioner - Psychiatric/mental Health |
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| Location | 986 Highway A, Iberia, 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: 1922052091
- Provider Enumeration Date: 05/21/2006
- Last Update Date: 05/29/2012
Medicare PECOS Information:
- PECOS PAC ID: 1052564267
- Enrollment ID: I20130118000266
Medical Identifiers
Medical identifiers for Mr Steven Edwin Reenan such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1922052091 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 101YP2500X | Counselor - Professional | CS 001374 (Missouri) | Secondary |
| 363LP0808X | Nurse Practitioner - Psychiatric/mental Health | 2012004610 (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. Mr Steven Edwin Reenan allows following entities to bill medicare on his behalf.
| Entity Name | Clinical Research Associates Pc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1063632826 PECOS PAC ID: 5597662080 Enrollment ID: O20040910000261 |
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| Entity Name | Ozark Center |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1790796878 PECOS PAC ID: 4789588088 Enrollment ID: O20050223000110 |
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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. Mr Steven Edwin Reenan 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 |
Mr Steven Edwin Reenan, LPC 986 Highway A, Iberia, MO 65486-8242 Ph: (573) 793-2162 | Mr Steven Edwin Reenan, LPC 986 Highway A, Iberia, MO 65486-8242 Ph: (573) 793-2162 |
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