Ms Kaci Briann Hale, FNP in Fenton, MO - Medicare Nurse Practitioner

Ms Kaci Briann Hale, FNP is a medicare enrolled "Nurse Practitioner" in Fenton, Missouri. Her current practice location is 1001 Bowles Ave, Fenton, Missouri. You can reach out to her office (for appointments etc.) via phone at (314) 996-8670.

Ms Kaci Briann Hale is licensed to practice in Missouri (license number 2014034687) 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 1174042659.

Contact Information

	Ms Kaci Briann Hale, FNP
	1001 Bowles Ave, Fenton, MO 63026
	(314) 996-8670
	(314) 747-2417

Map and Direction

Provider's Profile

Full Name	Ms Kaci Briann Hale
Gender	Female
Speciality	Nurse Practitioner
Location	1001 Bowles Ave, Fenton, Missouri
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1174042659
Provider Enumeration Date: 09/15/2017
Last Update Date: 10/22/2020

Medicare PECOS Information:

PECOS PAC ID: 2163782483
Enrollment ID: I20180207000397

Medical Identifiers

Medical identifiers for Ms Kaci Briann Hale such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1174042659	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363L00000X	Nurse Practitioner	2014034687 (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. Ms Kaci Briann Hale allows following entities to bill medicare on her behalf.

Entity Name	Washington University
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1992746903 PECOS PAC ID: 9830008770 Enrollment ID: O20031119000372

Entity Name	Our Urgent Care Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1902815863 PECOS PAC ID: 5799782496 Enrollment ID: O20061020000531

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. Ms Kaci Briann Hale 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
Ms Kaci Briann Hale, FNP Po Box 955534, Saint Louis, MO 63195-5534 Ph: () -	Ms Kaci Briann Hale, FNP 1001 Bowles Ave, Fenton, MO 63026 Ph: (314) 996-8670

Reviews and Comments

Nurse Practitioner Nurses in Fenton, MO

Ms. Lita Lapins, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1011 Bowles Ave, Suite 300, Fenton, MO 63026 Phone: 314-238-9100 Fax: 314-238-9110
Laura Howard, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1055 Bowles Ave Ste 200, Fenton, MO 63026 Phone: 636-496-3900
Rebecca Theresa Medlock, AGACNP-BC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 736 Marco Valley Ct, Fenton, MO 63026 Phone: 314-413-2187
Allison Kate Brown, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1011 Bowles Ave, Fenton, MO 63026 Phone: 314-200-2713
Brooke Salas, FNP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 774 Gravois Bluffs Blvd Ste A, Fenton, MO 63026 Phone: 636-343-5223
Mrs. Cynthia Visintine, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1345 Smizer Mill Rd Ste 1100, Fenton, MO 63026 Phone: 636-496-5022
Mrs. Kailey Jean Mccutchen, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1011 Bowles Ave Ste 400, Fenton, MO 63026 Phone: 314-617-2970

Ms Kaci Briann Hale, FNP - Medicare Nurse Practitioner in Fenton, MO