Mrs Mary Lee Pantess, NP - Medicare Nurse Practitioner in Louisville, KY

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Mrs Mary Lee Pantess, NP is a medicare enrolled "Nurse Practitioner" in Louisville, Kentucky. Her current practice location is 3934 Dixie Hwy Ste 420, Louisville, Kentucky. You can reach out to her office (for appointments etc.) via phone at (502) 200-1335.

Mrs Mary Lee Pantess is licensed to practice in Kentucky (license number 4004705) 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 1043996911.

Contact Information

Mrs Mary Lee Pantess, NP
3934 Dixie Hwy Ste 420,
Louisville, KY 40216-5162
(502) 200-1335
(866) 715-7614

Map and Direction




Provider's Profile

Full NameMrs Mary Lee Pantess
GenderFemale
SpecialityNurse Practitioner
Location3934 Dixie Hwy Ste 420, Louisville, Kentucky
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1043996911
  • Provider Enumeration Date: 06/26/2023
  • Last Update Date: 05/06/2024
  Medicare PECOS Information:
  • PECOS PAC ID: 8426417411
  • Enrollment ID: I20230710000748

Medical Identifiers

Medical identifiers for Mrs Mary Lee Pantess such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1043996911NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LF0000XNurse Practitioner - Family 4005705 (Kentucky)Secondary
363LP0808XNurse Practitioner - Psychiatric/mental Health 4004705 (Kentucky)Secondary
363L00000XNurse Practitioner 4004705 (Kentucky)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 Mary Lee Pantess allows following entities to bill medicare on her behalf.
Entity NameKiosk Medicine Kentucky Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1205885035
PECOS PAC ID: 6002887510
Enrollment ID: O20040805001127
Entity NameShively First Health Care Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1811775679
PECOS PAC ID: 5496102212
Enrollment ID: O20231115002288

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 Mary Lee Pantess 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 Mary Lee Pantess, NP
817 S Jackson St,
Louisville, KY 40203-2431

Ph: (502) 259-8811		Mrs Mary Lee Pantess, NP
3934 Dixie Hwy Ste 420,
Louisville, KY 40216-5162

Ph: (502) 200-1335

Reviews and Comments


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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).

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