Dr Stacy L Kanagawa, DO - Medicare Pediatrics in Nixa, MO

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Dr Stacy L Kanagawa, DO is a medicare enrolled "Pediatrics" physician in Nixa, Missouri. Her current practice location is 940 W Mount Vernon St, Suite 220, Nixa, Missouri. You can reach out to her office (for appointments etc.) via phone at (417) 724-5437.

Dr Stacy L Kanagawa is licensed to practice in Missouri (license number 2002009355) 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 1861438475.

Contact Information

Dr Stacy L Kanagawa, DO
940 W Mount Vernon St, Suite 220,
Nixa, MO 65714-9609
(417) 724-5437
(417) 724-5433

Map and Direction




Physician's Profile

Full NameDr Stacy L Kanagawa
GenderFemale
SpecialityPediatrics
Location940 W Mount Vernon St, Nixa, Missouri
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1861438475
  • Provider Enumeration Date: 06/21/2006
  • Last Update Date: 05/13/2013
  Medicare PECOS Information:
  • PECOS PAC ID: 1557445277
  • Enrollment ID: I20080219000785

Medical Identifiers

Medical identifiers for Dr Stacy L Kanagawa such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1861438475NPI-NPPES
168192003MedicaidAR
208341206MedicaidMO

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
208000000XPediatrics 2002009355 (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 Stacy L Kanagawa allows following entities to bill medicare on her behalf.
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 Stacy L Kanagawa 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 Stacy L Kanagawa, DO
Po Box 2580,
Springfield, MO 65801-2580

Ph: (417) 829-4620		Dr Stacy L Kanagawa, DO
940 W Mount Vernon St, Suite 220,
Nixa, MO 65714-9609

Ph: (417) 724-5437

Reviews and Comments


Pediatrics Doctors in Nixa, MO

Kathleen G Rice, MD
Pediatrics
Medicare: Not Enrolled in Medicare
Practice Location: 105 S Ridgecrest Ave, Nixa, MO 65714
Phone: 417-725-5280    Fax: 417-725-8253
Dr. Tamara L. Fusco, MD
Pediatrics
Medicare: Medicare Enrolled
Practice Location: 940 W Mount Vernon St, Suite 220, Nixa, MO 65714
Phone: 417-724-5437    Fax: 417-724-5433
Dr. Kody Blake Finstad, M.D.
Pediatrics
Medicare: Medicare Enrolled
Practice Location: 940 W Mount Vernon St Ste 220, Nixa, MO 65714
Phone: 417-724-5437    Fax: 417-724-5433

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.