Dr Nickolai C Detert, DNP, FNP-C in Saint Louis, MO

Dr Nickolai C Detert, DNP, FNP-C is a medicare enrolled "Nurse Practitioner" in Saint Louis, Missouri. His current practice location is 4921 Parkview Pl Ste 14a, Saint Louis, Missouri. You can reach out to his office (for appointments etc.) via phone at (314) 454-8778.

Dr Nickolai C Detert is licensed to practice in Missouri (license number 2019019665) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1154987097.

Contact Information

	Dr Nickolai C Detert, DNP, FNP-C
	4921 Parkview Pl Ste 14a, Saint Louis, MO 63110-1032
	(314) 454-8778
	Not Available

Map and Direction

Provider's Profile

Full Name	Dr Nickolai C Detert
Gender	Male
Speciality	Nurse Practitioner
Location	4921 Parkview Pl Ste 14a, Saint Louis, Missouri
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1154987097
Provider Enumeration Date: 05/16/2019
Last Update Date: 09/16/2022

Medicare PECOS Information:

PECOS PAC ID: 5597093559
Enrollment ID: I20190829000120

Medical Identifiers

Medical identifiers for Dr Nickolai C Detert such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1154987097	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	2019019665 (Missouri)	Secondary
363L00000X	Nurse Practitioner	2019019665 (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 Nickolai C Detert allows following entities to bill medicare on his behalf.

Entity Name	Physician Groups Lc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1285664268 PECOS PAC ID: 3072421254 Enrollment ID: O20040220001157

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 Nickolai C Detert 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
Dr Nickolai C Detert, DNP, FNP-C 4921 Parkview Pl Ste 14a, Saint Louis, MO 63110-1032 Ph: (314) 454-8778	Dr Nickolai C Detert, DNP, FNP-C 4921 Parkview Pl Ste 14a, Saint Louis, MO 63110-1032 Ph: (314) 454-8778

Reviews and Comments

Nurse Practitioner Nurses in Saint Louis, MO

Stephanie Lynn Shorey, WHNP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 621 S New Ballas Rd, Suite 2007b, Saint Louis, MO 63141 Phone: 314-991-5000
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Barbara Ann Giese, RN, CPNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 456 N New Ballas Rd, Suite 304, Saint Louis, MO 63141 Phone: 314-567-6868 Fax: 314-567-0578
Mrs. Anna Ouida Barton, WHNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 9450 Manchester Rd Ste 206, Saint Louis, MO 63119 Phone: 314-725-9300
Mrs. Michelle Marie Bloom, ACNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1 Barnes Jewish Hospital Plz, Dept Anesthesiology, Saint Louis, MO 63110 Phone: 800-862-9980 Fax: 314-362-1185
Jessica Lyn Burich, PMHNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1129 Macklind Ave, Saint Louis, MO 63110 Phone: 314-534-0200 Fax: 314-534-7996

Dr Nickolai C Detert, DNP, FNP-C - Medicare Nurse Practitioner in Saint Louis, MO