Mrs Staci Alonna Wittenborn, AGPCNP in Cape Girardeau, MO

Mrs Staci Alonna Wittenborn, AGPCNP is a medicare enrolled "Nurse Practitioner - Adult Health" in Cape Girardeau, Missouri. Her current practice location is 211 Saint Francis Dr Ste 15, Cape Girardeau, Missouri. You can reach out to her office (for appointments etc.) via phone at (573) 331-3333.

Mrs Staci Alonna Wittenborn is licensed to practice in Missouri (license number 2023045683) 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 1245005040.

Contact Information

	Mrs Staci Alonna Wittenborn, AGPCNP
	211 Saint Francis Dr Ste 15, Cape Girardeau, MO 63703-5049
	(573) 331-3333
	(573) 331-3334

Map and Direction

Provider's Profile

Full Name	Mrs Staci Alonna Wittenborn
Gender	Female
Speciality	Nurse Practitioner - Adult Health
Location	211 Saint Francis Dr Ste 15, Cape Girardeau, Missouri
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1245005040
Provider Enumeration Date: 11/21/2023
Last Update Date: 01/03/2024

Medicare PECOS Information:

PECOS PAC ID: 2961851480
Enrollment ID: I20231209000439

Medical Identifiers

Medical identifiers for Mrs Staci Alonna Wittenborn such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1245005040	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LA2200X	Nurse Practitioner - Adult Health	2023045683 (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. Mrs Staci Alonna Wittenborn allows following entities to bill medicare on her behalf.

Entity Name	Saint Francis Medical Center
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1356304489 PECOS PAC ID: 9931007929 Enrollment ID: O20040107000140

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 Staci Alonna Wittenborn 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
Mrs Staci Alonna Wittenborn, AGPCNP Po Box 801143, Kansas City, MO 64180-1143 Ph: (573) 331-5583	Mrs Staci Alonna Wittenborn, AGPCNP 211 Saint Francis Dr Ste 15, Cape Girardeau, MO 63703-5049 Ph: (573) 331-3333

Reviews and Comments

Nurse Practitioner Nurses in Cape Girardeau, MO

Kelli A Crowe, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1702 N Kingshighway St, Cape Girardeau, MO 63701 Phone: 573-339-2000 Fax: 573-339-1876
Sarah Ross, A.P.R.N., B.C. Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 35 Doctors Park, Cape Girardeau, MO 63703 Phone: 573-334-9498 Fax: 573-332-0370
Lisa M Zoellner-gullette, APRN BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 24 S Mount Auburn Rd, Cape Girardeau, MO 63703 Phone: 573-331-5544 Fax: 573-331-5545
Michele L Tanz, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1723 Broadway St, Suite 220, Cape Girardeau, MO 63701 Phone: 573-331-7910 Fax: 573-331-7919
Mrs. Christina Cossou, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2116 Megan Dr Ste 102, Cape Girardeau, MO 63701 Phone: 573-335-7546 Fax: 573-335-7550
Ms. Amy Lee Featherston, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1702 N Kingshighway St, Cape Girardeau, MO 63701 Phone: 573-339-2000 Fax: 573-339-1876
Mrs. Tara Ann Elizabeth Ribbing, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 211 Saint Francis Dr, Cape Girardeau, MO 63703 Phone: 573-331-3000

Mrs Staci Alonna Wittenborn, AGPCNP - Medicare Nurse Practitioner in Cape Girardeau, MO