Mallory Elizabeth Stith, CRNA - Medicare Certified Registered Nurse Anesthetist (crna) in Kennett, MO

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Mallory Elizabeth Stith, CRNA is a medicare enrolled "Nurse Anesthetist, Certified Registered" in Kennett, Missouri. She graduated from nursing school in 2016 and has 9 years of diverse experience with area of expertise as Certified Registered Nurse Anesthetist (crna). She is a member of the group practice Rural Health Pain Management Llc and her current practice location is 1301 1st St, Kennett, Missouri. You can reach out to her office (for appointments etc.) via phone at (573) 718-4038.

Mallory Elizabeth Stith is licensed to practice in Missouri (license number 2016005888) 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 1639539141.

Contact Information

Mallory Elizabeth Stith, CRNA
1301 1st St,
Kennett, MO 63857-2525
(573) 718-4038
Not Available

Map and Direction




Provider's Profile

Full NameMallory Elizabeth Stith
GenderFemale
SpecialityCertified Registered Nurse Anesthetist (crna)
Experience9 Years
Location1301 1st St, Kennett, Missouri
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Mallory Elizabeth Stith graduated from nursing school in 2016
  NPI Data:
  • NPI Number: 1639539141
  • Provider Enumeration Date: 02/25/2016
  • Last Update Date: 02/25/2016
  Medicare PECOS Information:
  • PECOS PAC ID: 1951607456
  • Enrollment ID: I20160309002038

Medical Identifiers

Medical identifiers for Mallory Elizabeth Stith such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1639539141NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
367500000XNurse Anesthetist, Certified Registered 2016005888 (Missouri)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Poplar Bluff Regional Medical CenterPoplar bluff, MOHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Rural Health Pain Management Llc892141034132

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. Mallory Elizabeth Stith allows following entities to bill medicare on her behalf.
Entity NameClinical Colleagues Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1992725766
PECOS PAC ID: 8729011333
Enrollment ID: O20130507000341
Entity NameCapital Anesthesia Solutions Of Missouri, Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1770185472
PECOS PAC ID: 1456764885
Enrollment ID: O20210104001560
Entity NameRural Health Pain Management Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1265039556
PECOS PAC ID: 8921410341
Enrollment ID: O20210512002296

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. Mallory Elizabeth Stith 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 AddressPractice Location Address
Mallory Elizabeth Stith, CRNA
40 Kathy Cv,
Poplar Bluff, MO 63901-2095

Ph: (573) 718-4038		Mallory Elizabeth Stith, CRNA
1301 1st St,
Kennett, MO 63857-2525

Ph: (573) 718-4038

Reviews and Comments


Nurse Anesthetist, Certified Registered Nurses in Kennett, MO

John M Ricketts, CRNA
Nurse Anesthetist - CR
Medicare: Accepting Medicare Assignments
Practice Location: 1231 1st St, Kennett, MO 63857
Phone: 573-888-4522    
Justin Smith, CRNA
Nurse Anesthetist - CR
Medicare: Not Enrolled in Medicare
Practice Location: 1301 1st St, Kennett, MO 63857
Phone: 573-686-5550    

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.