Alisa Beth Fajkus, CNM is a medicare enrolled "Advanced Practice Midwife" in Kirksville, Missouri. She went to University Of Kansas School Of Med (kc/wich/sal) and graduated in 2024 and has 2 years of diverse experience with area of expertise as Certified Nurse Midwife (cnm). She is a member of the group practice Northeast Missouri Health Council Inc and her current practice location is
402 W Jefferson St, Kirksville, Missouri. You can reach out to her office (for appointments etc.) via phone at
(660) 665-3555.
Alisa Beth Fajkus is licensed to practice in Missouri (license number 2024026678) 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 1689355687.
Provider's Profile
| Full Name | Alisa Beth Fajkus |
|---|
| Gender | Female |
|---|
| Speciality | Certified Nurse Midwife (cnm) |
|---|
| Experience | 2 Years |
|---|
| Location | 402 W Jefferson St, Kirksville, Missouri |
|---|
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
|---|
Medical Education and Training:
- Alisa Beth Fajkus attended and graduated from University Of Kansas School Of Med (kc/wich/sal) in 2024
NPI Data:
- NPI Number: 1689355687
- Provider Enumeration Date: 07/31/2023
- Last Update Date: 11/21/2024
Medicare PECOS Information:
- PECOS PAC ID: 2264979111
- Enrollment ID: I20240808004331
Medical Identifiers
Medical identifiers for Alisa Beth Fajkus such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1689355687 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 163WX0003X | Registered Nurse - Obstetric, Inpatient | 2013025730 (Missouri) | Secondary |
| 367A00000X | Advanced Practice Midwife | 2024026678 (Missouri) | Primary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|
| Northeast Missouri Health Council Inc | 1658280805 | 19 |
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. Alisa Beth Fajkus allows following entities to bill medicare on her behalf.
| Entity Name | Northeast Missouri Health Council Inc |
|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
|---|
| Entity Identifiers | NPI Number: 1104829498
PECOS PAC ID: 1658280805
Enrollment ID: O20040112000061 |
|---|
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. Alisa Beth Fajkus 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 |
|---|
Alisa Beth Fajkus, CNM
1416 Crown Dr,
Kirksville, MO 63501-2548
Ph: (660) 627-5757 | Alisa Beth Fajkus, CNM
402 W Jefferson St,
Kirksville, MO 63501-3407
Ph: (660) 665-3555 |
Reviews and Comments