Ms Aleta Jean Fox, PA is a medicare enrolled "Physician Assistant - Medical" in Neosho, Missouri. Her current practice location is
4301 Howard Bush Dr, Neosho, Missouri. You can reach out to her office (for appointments etc.) via phone at
(417) 212-7144.
Ms Aleta Jean Fox is licensed to practice in Missouri (license number 2024002454) 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 1922029719.
Provider's Profile
| Full Name | Ms Aleta Jean Fox |
|---|
| Gender | Female |
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| Speciality | Physician Assistant - Medical |
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| Location | 4301 Howard Bush Dr, Neosho, Missouri |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1922029719
- Provider Enumeration Date: 07/21/2006
- Last Update Date: 06/17/2024
Medicare PECOS Information:
- PECOS PAC ID: 1153379656
- Enrollment ID: I20050111000994
Medical Identifiers
Medical identifiers for Ms Aleta Jean Fox such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1922029719 | NPI | - | NPPES |
| 200468380O | Medicaid | OK | |
| 100150140B | Medicaid | OK | |
| 100150140D | Medicaid | OK | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 363AM0700X | Physician Assistant - Medical | 942 (Oklahoma) | Secondary |
| 363AM0700X | Physician Assistant - Medical | 2024002454 (Missouri) | Primary |
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 Aleta Jean Fox 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 Aleta Jean Fox, PA
2724 Lonnie Ln,
Seneca, MO 64865-8519
Ph: (918) 533-4634 | Ms Aleta Jean Fox, PA
4301 Howard Bush Dr,
Neosho, MO 64850-9104
Ph: (417) 212-7144 |
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