Dr Rachelene Middleton, MD - Medicare Family Practice in Nixa, MO

Dr Rachelene Middleton, MD is a medicare enrolled "Family Medicine" physician in Nixa, Missouri. She went to University Of Missouri, Kansas City, School Of Medicine and graduated in 2000 and has 24 years of diverse experience with area of expertise as Family Practice. She is a member of the group practice Mercy Clinic Springfield Communities and her current practice location is 940 W Mount Vernon St, Nixa, Missouri. You can reach out to her office (for appointments etc.) via phone at (417) 724-5200.

Dr Rachelene Middleton is licensed to practice in Missouri (license number 2002005851) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1972511020.

Contact Information

Dr Rachelene Middleton, MD
940 W Mount Vernon St,
Nixa, MO 65714-9609
(417) 724-5200
(417) 724-5203

Map and Direction




Physician's Profile

Full NameDr Rachelene Middleton
GenderFemale
SpecialityFamily Practice
Experience24 Years
Location940 W Mount Vernon St, Nixa, Missouri
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Dr Rachelene Middleton attended and graduated from University Of Missouri, Kansas City, School Of Medicine in 2000
  NPI Data:
  • NPI Number: 1972511020
  • Provider Enumeration Date: 08/04/2006
  • Last Update Date: 05/09/2013
  Medicare PECOS Information:
  • PECOS PAC ID: 9335181429
  • Enrollment ID: I20050531000315

Medical Identifiers

Medical identifiers for Dr Rachelene Middleton such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1972511020NPI-NPPES
209197813MedicaidMO

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207Q00000XFamily Medicine 2002005851 (Missouri)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Mercy Hospital SpringfieldSpringfield, MOHospital
Mercy Hospital - AuroraAurora, MOHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Mercy Clinic Springfield Communities7416865845922

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 Rachelene Middleton allows following entities to bill medicare on her behalf.
Entity NameMercy Clinic Springfield Communities
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1245277631
PECOS PAC ID: 7416865845
Enrollment ID: O20031104000060
Entity NameMercy Clinic Springfield Communities
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1972771657
PECOS PAC ID: 7416865845
Enrollment ID: O20031218000354

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 Rachelene Middleton 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 AddressPractice Location Address
Dr Rachelene Middleton, MD
Po Box 2580,
Springfield, MO 65801-2580

Ph: (417) 829-4620
Dr Rachelene Middleton, MD
940 W Mount Vernon St,
Nixa, MO 65714-9609

Ph: (417) 724-5200

Reviews and Comments


Family Medicine Doctors in Nixa, MO

David Bogner, M.D.
Family Medicine
Medicare: Not Enrolled in Medicare
Practice Location: 1930 N Tanglewood Ln, Nixa, MO 65714
Phone: 417-724-8378    
William B Campbell, DO
Family Medicine
Medicare: Not Enrolled in Medicare
Practice Location: 105a Ridgecrest, Nixa, MO 65714
Phone: 417-725-8250    Fax: 417-725-8253
Kristen Allcorn Killen, MD
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 501 N Old Wilderness Rd, Nixa, MO 65714
Phone: 417-269-2227    Fax: 417-269-2235
Dr. Scott R. Moose, MD
Family Medicine
Medicare: Not Enrolled in Medicare
Practice Location: 940 W Mount Vernon St, Nixa, MO 65714
Phone: 417-724-5200    Fax: 417-724-5203
Dr. Siu Ping Luthy, M.D.
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 411 N Mccroskey St, Nixa, MO 65714
Phone: 417-269-2227    Fax: 417-269-2235
Dr. Brian James Duff, MD
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 411 N. Mccroskey, Nixa, MO 65714
Phone: 417-269-2227    Fax: 417-269-2235
Dr. Guy F. Miller, DO
Family Medicine
Medicare: Medicare Enrolled
Practice Location: 940 W Mount Vernon St, Nixa, MO 65714
Phone: 417-724-5200    Fax: 417-724-5203

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.