Kathleen Delain Decker, AGPCNP-BC is a medicare enrolled "Nurse Practitioner - Adult Health" in Richwoods, Missouri. She graduated from nursing school in 2018 and has 7 years of diverse experience with area of expertise as Nurse Practitioner. Her current practice location is
10069 Dry Gulch Rd, Richwoods, Missouri. You can reach out to her office (for appointments etc.) via phone at
(573) 678-2699.
Kathleen Delain Decker is licensed to practice in Missouri (license number 2018032681) and she also participates in the medicare program. She
may accept medicare assignments (which means she may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance) and her NPI Number is 1780168823.
Provider's Profile
| Full Name | Kathleen Delain Decker |
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| Gender | Female |
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| Speciality | Nurse Practitioner |
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| Experience | 7 Years |
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| Location | 10069 Dry Gulch Rd, Richwoods, Missouri |
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| Accepts Medicare Assignments | May be. She may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance. |
Medical Education and Training:
- Kathleen Delain Decker graduated from nursing school in 2018
NPI Data:
- NPI Number: 1780168823
- Provider Enumeration Date: 09/24/2018
- Last Update Date: 09/24/2018
Medicare PECOS Information:
- PECOS PAC ID: 9931507175
- Enrollment ID: I20211001001982
Medical Identifiers
Medical identifiers for Kathleen Delain Decker such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1780168823 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 363LA2200X | Nurse Practitioner - Adult Health | 2018032681 (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. Kathleen Delain Decker allows following entities to bill medicare on her behalf.
| Entity Name | Signify Health Llc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1689158487 PECOS PAC ID: 3274895263 Enrollment ID: O20210212002068 |
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| Entity Name | Gateway Regenerative Medicine Llc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1225741143 PECOS PAC ID: 0941671945 Enrollment ID: O20230131001434 |
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| Entity Name | St Louis Pain Center Llc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1992587968 PECOS PAC ID: 2466809645 Enrollment ID: O20231109000774 |
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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. Kathleen Delain Decker 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 |
Kathleen Delain Decker, AGPCNP-BC 10069 Dry Gulch Rd, Richwoods, MO 63071-2510 Ph: (573) 678-2699 | Kathleen Delain Decker, AGPCNP-BC 10069 Dry Gulch Rd, Richwoods, MO 63071-2510 Ph: (573) 678-2699 |
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