Mrs Dawn Lynette Petty, NP - Medicare Nurse Practitioner in Lee's Summit, MO

Mrs Dawn Lynette Petty, NP is a medicare enrolled "Nurse Practitioner" in Lee's Summit, Missouri. Her current practice location is 20 Ne Saint Lukes Boulevard, Suite #350, Lee's Summit, Missouri. You can reach out to her office (for appointments etc.) via phone at (816) 524-5333.

Mrs Dawn Lynette Petty is licensed to practice in Kansas (license number 53-75468-111) 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 1134404957.

Contact Information

Mrs Dawn Lynette Petty, NP
20 Ne Saint Lukes Boulevard, Suite #350,
Lee's Summit, MO 64086-6007
(816) 524-5333
(816) 524-4325

Map and Direction




Provider's Profile

Full NameMrs Dawn Lynette Petty
GenderFemale
SpecialityNurse Practitioner
Location20 Ne Saint Lukes Boulevard, Lee's Summit, Missouri
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1134404957
  • Provider Enumeration Date: 10/12/2011
  • Last Update Date: 10/12/2011
  Medicare PECOS Information:
  • PECOS PAC ID: 0042487704
  • Enrollment ID: I20150302000928

Medical Identifiers

Medical identifiers for Mrs Dawn Lynette Petty such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1134404957NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363L00000XNurse Practitioner 53-75468-111 (Kansas)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. Mrs Dawn Lynette Petty allows following entities to bill medicare on her behalf.
Entity NameMid-america Rheumatology Consultants
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1043204852
PECOS PAC ID: 1951202852
Enrollment ID: O20040114000675

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. Mrs Dawn Lynette Petty 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
Mrs Dawn Lynette Petty, NP
20 Ne Saint Lukes Boulevard, Suite #350,
Lee's Summit, MO 64086-6007

Ph: (816) 524-5333
Mrs Dawn Lynette Petty, NP
20 Ne Saint Lukes Boulevard, Suite #350,
Lee's Summit, MO 64086-6007

Ph: (816) 524-5333

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Nurse Practitioner Nurses in Lee's Summit, MO