Athina Patrick, APRN-CNP in Fort Leonard Wood, MO

Athina Patrick, APRN-CNP is a medicare enrolled "Nurse Practitioner - Family" in Fort Leonard Wood, Missouri. Her current practice location is 4430 Missouri Ave, Fort Leonard Wood, Missouri. You can reach out to her office (for appointments etc.) via phone at (573) 596-1600.

Athina Patrick is licensed to practice in Ohio (license number CNP021931) 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 1508318692.

Contact Information

	Athina Patrick, APRN-CNP
	4430 Missouri Ave, Fort Leonard Wood, MO 65473-9098
	(573) 596-1600
	Not Available

Map and Direction

Provider's Profile

Full Name	Athina Patrick
Gender	Female
Speciality	Nurse Practitioner - Family
Location	4430 Missouri Ave, Fort Leonard Wood, Missouri
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1508318692
Provider Enumeration Date: 10/25/2016
Last Update Date: 08/18/2022

Medicare PECOS Information:

PECOS PAC ID: 8123371630
Enrollment ID: I20181031001144

Medical Identifiers

Medical identifiers for Athina Patrick such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1508318692	NPI	-	NPPES
14361858	Other	OH	CAQH
CNP021931	Other	OH	NP LICENSE NUMBER

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	CNP021931 (Ohio)	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. Athina Patrick allows following entities to bill medicare on her behalf.

Entity Name	Nephrology Assoc. Of Sw Ohio Inc.
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1134192727 PECOS PAC ID: 1951298272 Enrollment ID: O20040302000524

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. Athina Patrick 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
Athina Patrick, APRN-CNP 4430 Missour Ave, Ft Leonard Wood, MO 65473 Ph: (573) 596-1600	Athina Patrick, APRN-CNP 4430 Missouri Ave, Fort Leonard Wood, MO 65473-9098 Ph: (573) 596-1600

Reviews and Comments

Nurse Practitioner Nurses in Fort Leonard Wood, MO

Dr. David F Boyd Iii, FNP STUDENT Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 126 Missouri Ave, General Leonard Wood Community Hospital, Fort Leonard Wood, MO 65473 Phone: 573-596-0462
Christy Huff, PMHNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 4430 Missouri Ave, Fort Leonard Wood, MO 65473 Phone: 573-596-0522
Amy M Tolles, FNP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 4430 Missouri Ave, Fort Leonard Wood, MO 65473 Phone: 573-596-0417
Mrs. Christina Anne Lamb, FNP-BC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 4430 Missouri Ave, General Leonard Wood Army Hospital, Fort Leonard Wood, MO 65473 Phone: 573-596-0131
Steven Ray Morse, N.P. Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 126 Missouri Ave, Fort Leonard Wood, MO 65473 Phone: 573-329-8305 Fax: 573-329-8302
Richkard Saint Louis, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 4430 Missouri Ave, Fort Leonard Wood, MO 65473 Phone: 573-596-0035
Miss Priscilla Antonette Tolbert, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 4430 Missouri Ave # 1267, Fort Leonard Wood, MO 65473 Phone: 573-596-9843 Fax: 573-596-5334

Athina Patrick, APRN-CNP - Medicare Nurse Practitioner in Fort Leonard Wood, MO