Phylicia Little, FNP-BC in Bridgeton, MO - Medicare Nurse Practitioner

Phylicia Little, FNP-BC is a medicare enrolled "Nurse Practitioner - Family" in Bridgeton, Missouri. Her current practice location is 12800 Boenker Ln, Bridgeton, Missouri. You can reach out to her office (for appointments etc.) via phone at (314) 499-6060.

Phylicia Little is licensed to practice in Missouri (license number 2016027446) 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 1053782276.

Contact Information

	Phylicia Little, FNP-BC
	12800 Boenker Ln, Bridgeton, MO 63044-2438
	(314) 499-6060
	(314) 261-9222

Map and Direction

Provider's Profile

Full Name	Phylicia Little
Gender	Female
Speciality	Nurse Practitioner - Family
Location	12800 Boenker Ln, Bridgeton, Missouri
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1053782276
Provider Enumeration Date: 10/14/2015
Last Update Date: 06/18/2026

Medicare PECOS Information:

PECOS PAC ID: 0941598197
Enrollment ID: I20161004001729

Medical Identifiers

Medical identifiers for Phylicia Little such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1053782276	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	2016027446 (Missouri)	Primary
163W00000X	Registered Nurse	2009020513 (Missouri)	Secondary

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. Phylicia Little allows following entities to bill medicare on her behalf.

Entity Name	Clinical Research Associates Pc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1063632826 PECOS PAC ID: 5597662080 Enrollment ID: O20040910000261

Entity Name	Clinical Medical Services Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1497132286 PECOS PAC ID: 3375857394 Enrollment ID: O20150805006875

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. Phylicia Little 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
Phylicia Little, FNP-BC 12800 Boenker Ln, Bridgeton, MO 63044-2438 Ph: (314) 499-6060	Phylicia Little, FNP-BC 12800 Boenker Ln, Bridgeton, MO 63044-2438 Ph: (314) 499-6060

Reviews and Comments

Nurse Practitioner Nurses in Bridgeton, MO

Debra E Solom, A.N.P. Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 12277 De Paul Dr Ste 100, Bridgeton, MO 63044 Phone: 314-209-5142
Suneeta V. Parpelli, AGNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 12303 De Paul Dr, Bridgeton, MO 63044 Phone: 314-317-0600 Fax: 314-317-0606
Saima Baig, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 12255 De Paul Dr Ste 490, Bridgeton, MO 63044 Phone: 314-344-7770
Mrs. Stella Wohlfarth, FNP-C, MSN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 3478 Bridgeland Dr Ste 2, Bridgeton, MO 63044 Phone: 314-739-8200 Fax: 314-735-4490
Mckinzie Jo Kizer, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 3550 Mckelvey Rd, Bridgeton, MO 63044 Phone: 314-741-0911 Fax: 314-218-9622
Ms. Amy Elizabeth Mcalister, PNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 12255 Depaul Drive, Suite 370, Bridgeton, MO 63044 Phone: 314-209-5222 Fax: 314-092-5224

Phylicia Little, FNP-BC - Medicare Nurse Practitioner in Bridgeton, MO