Laci Mae Donnelly, FNP in Springfield, MO - Medicare Nurse Practitioner

Laci Mae Donnelly, FNP is a medicare enrolled "Nurse Practitioner - Family" in Springfield, Missouri. Her current practice location is 3525 E Battlefield St, Springfield, Missouri. You can reach out to her office (for appointments etc.) via phone at (417) 269-1499.

Laci Mae Donnelly is licensed to practice in Missouri (license number 2012007890) 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 1467727321.

Contact Information

	Laci Mae Donnelly, FNP
	3525 E Battlefield St, Springfield, MO 65809-3434
	(417) 269-1499
	(417) 269-1459

Map and Direction

Provider's Profile

Full Name	Laci Mae Donnelly
Gender	Female
Speciality	Nurse Practitioner - Family
Location	3525 E Battlefield St, Springfield, Missouri
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1467727321
Provider Enumeration Date: 03/12/2012
Last Update Date: 04/18/2022

Medicare PECOS Information:

PECOS PAC ID: 7810158144
Enrollment ID: I20120413000406

Medical Identifiers

Medical identifiers for Laci Mae Donnelly such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1467727321	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	2012007890 (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. Laci Mae Donnelly allows following entities to bill medicare on her behalf.

Entity Name	Lester E Cox Medical Centers
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1538334396 PECOS PAC ID: 1254248917 Enrollment ID: O20050624000293

Entity Name	Lester E Cox Medical Centers
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1447324660 PECOS PAC ID: 5799787784 Enrollment ID: O20070206000541

Entity Name	Lester E Cox Medical Centers
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1316010135 PECOS PAC ID: 5799787784 Enrollment ID: O20070215000227

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. Laci Mae Donnelly 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
Laci Mae Donnelly, FNP Po Box 802843, Kansas City, MO 64180-2843 Ph: (417) 730-6430	Laci Mae Donnelly, FNP 3525 E Battlefield St, Springfield, MO 65809-3434 Ph: (417) 269-1499

Reviews and Comments

Nurse Practitioner Nurses in Springfield, MO

Ven Thi Lam, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 2828 N National Ave, Springfield, MO 65803 Phone: 417-837-4000 Fax: 417-875-4720
Mrs. Erin Elizabeth Duvall, APRN, FNP-C, PMHNP-B Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1901 E Bennett - B, Springfield, MO 65804 Phone: 417-619-4129
Michelle Spencer, FNP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 2750 S Campbell Ave, Springfield, MO 65807 Phone: 417-269-2281 Fax: 417-269-2292
Mrs. Cassondra Dawn Simmoneau, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 3800 S National Ave Ste 510, Springfield, MO 65807 Phone: 417-875-3000
Beverly Jo Gann, RNC,WHNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 2828 N National Ave, Doctors Hospital Of Springfield, Specialty Clinic, Springfield, MO 65803 Phone: 417-837-4000 Fax: 417-875-4724
Ms. Jennifer L. Passanise, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1435 E Bradford Pkwy, Springfield, MO 65804 Phone: 417-881-4994 Fax: 417-881-4998
Sally R Schafer, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1423 N Jefferson Ave, Springfield, MO 65802 Phone: 417-269-4636 Fax: 417-269-7036

Laci Mae Donnelly, FNP - Medicare Nurse Practitioner in Springfield, MO