Patrice Wanetta Dumas Veraguth, is a medicare enrolled "Nurse Practitioner - Psychiatric/mental Health" provider in Independence, Missouri. Her current practice location is
18813 E 25th St S, Independence, Missouri. You can reach out to her office (for appointments etc.) via phone at
(816) 217-1791.
Patrice Wanetta Dumas Veraguth is licensed to practice in Missouri (license number 363LP0808X) 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 1992900492.
Healthcare Provider's Profile
Full Name | Patrice Wanetta Dumas Veraguth |
---|
Gender | Female |
---|
Speciality | Nurse Practitioner - Psychiatric/mental Health |
---|
Location | 18813 E 25th St S, Independence, Missouri |
---|
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1992900492
- Provider Enumeration Date: 06/15/2007
- Last Update Date: 05/20/2025
Medicare PECOS Information:
- PECOS PAC ID: 4981143369
- Enrollment ID: I20240829001255
Medical Identifiers
Medical identifiers for Patrice Wanetta Dumas Veraguth such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1992900492 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
101YP2500X | Counselor - Professional | 2007018861 (Missouri) | Secondary |
104100000X | Social Worker | (* (Not Available)) | Secondary |
101YP2500X | Counselor - Professional | (* (Not Available)) | Secondary |
251C00000X | Day Training, Developmentally Disabled Services | (* (Not Available)) | Secondary |
363LP0808X | Nurse Practitioner - Psychiatric/mental Health | 363LP0808X (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. Patrice Wanetta Dumas Veraguth allows following entities to bill medicare on her behalf.
Entity Name | Ipc Pac Healthcare Services Of Missouri Inc |
---|
Entity Type | Part B Supplier - Clinic/group Practice |
---|
Entity Identifiers | NPI Number: 1326497587 PECOS PAC ID: 4587950589 Enrollment ID: O20160830002898 |
---|
Entity Name | Nv Pacs 2 Llc |
---|
Entity Type | Part B Supplier - Clinic/group Practice |
---|
Entity Identifiers | NPI Number: 1427534809 PECOS PAC ID: 0941550578 Enrollment ID: O20210812000487 |
---|
Entity Name | Cs Pacs 3 Midwest Llc |
---|
Entity Type | Part B Supplier - Clinic/group Practice |
---|
Entity Identifiers | NPI Number: 1972368785 PECOS PAC ID: 4183164734 Enrollment ID: O20241003002367 |
---|
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. Patrice Wanetta Dumas Veraguth 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 |
Patrice Wanetta Dumas Veraguth, 18813 E 25th St S, Independence, MO 64057-2467 Ph: (816) 217-1791 | Patrice Wanetta Dumas Veraguth, 18813 E 25th St S, Independence, MO 64057-2467 Ph: (816) 217-1791 |
Reviews and Comments