Mary Booth, NP - Medicare Nurse Practitioner in Republic, MO

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Mary Booth, NP is a medicare enrolled "Nurse Practitioner - Family" in Republic, Missouri. She graduated from nursing school in 2019 and has 5 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Mercy Clinic Springfield Communities and her current practice location is 332 S Main Ave, Republic, Missouri. You can reach out to her office (for appointments etc.) via phone at (417) 732-5050.

Mary Booth is licensed to practice in Missouri (license number 2019031435) 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 1003459132.

Contact Information

Mary Booth, NP
332 S Main Ave,
Republic, MO 65738-1861
(417) 732-5050
Not Available

Map and Direction




Provider's Profile

Full NameMary Booth
GenderFemale
SpecialityNurse Practitioner
Experience5 Years
Location332 S Main Ave, Republic, 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:
  • Mary Booth graduated from nursing school in 2019
  NPI Data:
  • NPI Number: 1003459132
  • Provider Enumeration Date: 10/22/2019
  • Last Update Date: 10/22/2019
  Medicare PECOS Information:
  • PECOS PAC ID: 3375975584
  • Enrollment ID: I20191108001423

Medical Identifiers

Medical identifiers for Mary Booth such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1003459132NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LF0000XNurse Practitioner - Family 2019031435 (Missouri)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Mercy Hospital SpringfieldSpringfield, MOHospital
Mercy Hospital - AuroraAurora, MOHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Mercy Clinic Springfield Communities7416865845922

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. Mary Booth allows following entities to bill medicare on her behalf.
Entity NameMercy Clinic Springfield Communities
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1245277631
PECOS PAC ID: 7416865845
Enrollment ID: O20031104000060
Entity NameMercy Clinic Springfield Communities
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1972771657
PECOS PAC ID: 7416865845
Enrollment ID: O20031218000354

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. Mary Booth 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
Mary Booth, NP
332 S Main Ave,
Republic, MO 65738-1861

Ph: (417) 732-5050		Mary Booth, NP
332 S Main Ave,
Republic, MO 65738-1861

Ph: (417) 732-5050

Reviews and Comments


Nurse Practitioner Nurses in Republic, MO

Mr. Craig Brian Eden, FNP-BC
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 474 Hudson Ave, Republic, MO 65738
Phone: 417-619-1128    
Sharon Igou,
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 820 S Illinois Ave, Republic, MO 65738
Phone: 417-269-1910    Fax: 417-269-1916
Erin Elizabeth Casey, DNP
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 332 S Main Ave, Republic, MO 65738
Phone: 417-732-5050    
Dr. Courtney Deanne Davenport, DNP
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 1173 E Hines St, Republic, MO 65738
Phone: 417-735-0055    
Mrs. Amy Sue Ridenour, MSN, FNP-C
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 429 N Douglas Dr, Republic, MO 65738
Phone: 417-350-9327    
Mary M. Burch, FNP-BC
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 1150 Us Highway 60 E, Republic, MO 65738
Phone: 417-732-2255    Fax: 417-732-2166

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.