Alante Q Ghannam, FNP in Saint Charles, MO - Medicare Nurse Practitioner

Alante Q Ghannam, FNP is a medicare enrolled "Nurse Practitioner - Family" in Saint Charles, Missouri. Her current practice location is 1475 Kisker Rd Ste 200, Saint Charles, Missouri. You can reach out to her office (for appointments etc.) via phone at (636) 695-0325.

Alante Q Ghannam is licensed to practice in Missouri (license number 2017000787) 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 1083153787.

Contact Information

	Alante Q Ghannam, FNP
	1475 Kisker Rd Ste 200, Saint Charles, MO 63304-8788
	(636) 695-0325
	(636) 695-0326

Map and Direction

Provider's Profile

Full Name	Alante Q Ghannam
Gender	Female
Speciality	Nurse Practitioner - Family
Location	1475 Kisker Rd Ste 200, Saint Charles, Missouri
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1083153787
Provider Enumeration Date: 02/15/2017
Last Update Date: 01/23/2025

Medicare PECOS Information:

PECOS PAC ID: 3072897933
Enrollment ID: I20170222000141

Medical Identifiers

Medical identifiers for Alante Q Ghannam such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1083153787	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	2017000787 (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. Alante Q Ghannam allows following entities to bill medicare on her behalf.

Entity Name	Ssm Medical Group Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1700966207 PECOS PAC ID: 6608776299 Enrollment ID: O20040729001034

Entity Name	Visiting Nurse Association Of Greater St Louis
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1982634358 PECOS PAC ID: 6305075417 Enrollment ID: O20160422001942

Entity Name	Unity Hospice Gsl Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1114220043 PECOS PAC ID: 6406037274 Enrollment ID: O20190517002117

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. Alante Q Ghannam 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
Alante Q Ghannam, FNP Po Box 23340, Saint Louis, MO 63156-3340 Ph: (314) 645-3743	Alante Q Ghannam, FNP 1475 Kisker Rd Ste 200, Saint Charles, MO 63304-8788 Ph: (636) 695-0325

Reviews and Comments

Nurse Practitioner Nurses in Saint Charles, MO

Mrs. Kasandra May, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1794 Zumbehl Rd, Saint Charles, MO 63303 Phone: 636-947-1666
Kellie M Odonnell-stockton, N.P. Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 711 Veterans Memorial Pkwy Ste 300, Saint Charles, MO 63303 Phone: 636-669-2350
Mrs. Susan Becker Leon, R.N., GNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1820 Zumbehl Rd Ste 120, Saint Charles, MO 63303 Phone: 636-947-2334
Christina Jeanette Gaut, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 400 1st Capitol Dr, Suite 301, Saint Charles, MO 63301 Phone: 636-669-3080
Mr. Michael Kevin Lemp, MSN, APN, FNP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 2893 Veterans Memorial Pkwy, Saint Charles, MO 63303 Phone: 618-255-8174 Fax: 636-639-2368
Ms. Victoria J Vondrak, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 3871 Mexico Rd, Dept Orthopaedic Surgery, Saint Charles, MO 63303 Phone: 314-514-3500 Fax: 314-878-7678
Paige Spry, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 2150 W Randolph St, Saint Charles, MO 63301 Phone: 888-256-3814

Alante Q Ghannam, FNP - Medicare Nurse Practitioner in Saint Charles, MO