Dr Augusta Ellice Hays, MD is a medicare enrolled "Family Medicine" physician in Ava, Missouri. Her current practice location is
504 W. Broadway Ave., Ava, Missouri. You can reach out to her office (for appointments etc.) via phone at
(417) 683-5739.
Dr Augusta Ellice Hays is licensed to practice in Missouri (license number 2018030005) 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 1700986270.
Physician's Profile
| Full Name | Dr Augusta Ellice Hays |
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| Gender | Female |
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| Speciality | Family Medicine |
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| Location | 504 W. Broadway Ave., Ava, Missouri |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1700986270
- Provider Enumeration Date: 09/25/2006
- Last Update Date: 05/01/2020
Medicare PECOS Information:
- PECOS PAC ID: 0345146700
- Enrollment ID: I20181106003189
Medical Identifiers
Medical identifiers for Dr Augusta Ellice Hays such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1700986270 | NPI | - | NPPES |
| 2018030005 | Other | MO | MISSOURI LICENSE BUREAU |
| 2500050484 | Other | MO | MISSOURI BNDD |
| 878803 | Medicaid | AZ | |
| AZ0765920 | Other | AZ | BCBS |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 207Q00000X | Family Medicine | 5134 (Alaska) | Secondary |
| 207Q00000X | Family Medicine | 0101244586 (Virginia) | Secondary |
| 207Q00000X | Family Medicine | P4960 (Texas) | Secondary |
| 207Q00000X | Family Medicine | 2018030005 (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. Dr Augusta Ellice Hays allows following entities to bill medicare on her behalf.
| Entity Name | Douglas County Public Health Services Group, Inc. |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1912904004
PECOS PAC ID: 3072423052
Enrollment ID: O20050301000128 |
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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. Dr Augusta Ellice Hays 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 |
|---|
Dr Augusta Ellice Hays, MD
Po Box 1359,
Ava, MO 65608-1359
Ph: (417) 683-5739 | Dr Augusta Ellice Hays, MD
504 W. Broadway Ave.,
Ava, MO 65608-1359
Ph: (417) 683-5739 |
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