Kiara Pendergraft, DO - Medicare Emergency Medicine in Joplin, MO

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Kiara Pendergraft, DO is a medicare enrolled "Emergency Medicine" physician in Joplin, Missouri. Her current practice location is 1031 Mcintosh Cir, Joplin, Missouri. You can reach out to her office (for appointments etc.) via phone at (417) 347-1111.

Kiara Pendergraft is licensed to practice in Tennessee (license number E-14748) 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 1679194583.

Contact Information

Kiara Pendergraft, DO
1031 Mcintosh Cir,
Joplin, MO 64804-3643
(417) 347-1111
Not Available

Map and Direction




Physician's Profile

Full NameKiara Pendergraft
GenderFemale
SpecialityEmergency Medicine
Location1031 Mcintosh Cir, Joplin, Missouri
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1679194583
  • Provider Enumeration Date: 05/01/2020
  • Last Update Date: 10/31/2023
  Medicare PECOS Information:
  • PECOS PAC ID: 8527422088
  • Enrollment ID: I20230915003418

Medical Identifiers

Medical identifiers for Kiara Pendergraft such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1679194583NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207P00000XEmergency Medicine E-14748 (Tennessee)Primary
390200000XStudent In An Organized Health Care Education/training Program (* (Not Available))Secondary

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. Kiara Pendergraft allows following entities to bill medicare on her behalf.
Entity NameSoutheastern Emergency Physicians Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1356379382
PECOS PAC ID: 2466364997
Enrollment ID: O20050418001201
Entity NameIes Arkansas Pllc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1598488090
PECOS PAC ID: 6204207665
Enrollment ID: O20230123000050

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. Kiara Pendergraft 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
Kiara Pendergraft, DO
1102 W 32nd St,
Joplin, MO 64804-3503

Ph: () -		Kiara Pendergraft, DO
1031 Mcintosh Cir,
Joplin, MO 64804-3643

Ph: (417) 347-1111

Reviews and Comments


Emergency Medicine Doctors in Joplin, MO

Clinton R Loy, DO
Emergency Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 100 Mercy Way, Joplin, MO 64804
Phone: 417-556-2300    Fax: 417-556-3625
Erika Crawford, DO
Emergency Medicine
Medicare: Medicare Enrolled
Practice Location: 1102 W 32nd St, Joplin, MO 64804
Phone: 417-347-1111    
Dr. Earnst Douglas Seifert, MD
Emergency Medicine
Medicare: Not Enrolled in Medicare
Practice Location: 1102 W 32nd St, Joplin, MO 64804
Phone: 417-347-1111    Fax: 417-347-2149
Dr. Richard Marvin Blubaugh, DO
Emergency Medicine
Medicare: Medicare Enrolled
Practice Location: 1102 West 32nd Street, Joplin, MO 64804
Phone: 417-347-1111    Fax: 417-347-2149
Matthew Dwight Grounds, DO
Emergency Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 1102 W 32nd St, Joplin, MO 64804
Phone: 417-347-1111    
Michelle Pannell, MD
Emergency Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 100 Mercy Way, Joplin, MO 64804
Phone: 417-781-2727    Fax: 417-208-3625
Dallin Daniel Elmer, DO
Emergency Medicine
Medicare: Medicare Enrolled
Practice Location: 1102 W 32nd St, Joplin, MO 64804
Phone: 417-347-1111    

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.