Sophia Mazhou, - Medicare Nurse Practitioner in Kennett, MO

  1. Home
  2. Nurse Practitioner
  3. MO
  4. Kennett
Sophia Mazhou, is a medicare enrolled "Nurse Practitioner - Psychiatric/mental Health" in Kennett, Missouri. Her current practice location is 901 W Commercial St, Kennett, Missouri. You can reach out to her office (for appointments etc.) via phone at (870) 489-8633.

Sophia Mazhou is licensed to practice in Missouri (license number 2023034767) 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 1801657853.

Contact Information

Sophia Mazhou,
901 W Commercial St,
Kennett, MO 63857-1100
(870) 489-8633
Not Available

Map and Direction




Provider's Profile

Full NameSophia Mazhou
GenderFemale
SpecialityNurse Practitioner - Psychiatric/mental Health
Location901 W Commercial St, Kennett, Missouri
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1801657853
  • Provider Enumeration Date: 01/17/2024
  • Last Update Date: 06/02/2025
  Medicare PECOS Information:
  • PECOS PAC ID: 1658717061
  • Enrollment ID: I20240307002972

Medical Identifiers

Medical identifiers for Sophia Mazhou such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1801657853NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LP0808XNurse Practitioner - Psychiatric/mental Health AP61574385 (Washington)Secondary
363LP0808XNurse Practitioner - Psychiatric/mental Health 2023034767 (Missouri)Primary
363LP0808XNurse Practitioner - Psychiatric/mental Health 209028551 (Illinois)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. Sophia Mazhou allows following entities to bill medicare on her behalf.
Entity NameMcpherson Medical & Diagnostic Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1003407883
PECOS PAC ID: 5698773539
Enrollment ID: O20061201000167

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. Sophia Mazhou 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
Sophia Mazhou,
2010 Castlebar Dr,
Saint Louis, MO 63146-3731

Ph: (314) 406-0155		Sophia Mazhou,
901 W Commercial St,
Kennett, MO 63857-1100

Ph: (870) 489-8633

Reviews and Comments


Nurse Practitioner Nurses in Kennett, MO

Brittnay Mossman, CNP
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 211 Teaco Rd, Kennett, MO 63857
Phone: 573-888-0001    
Savannah Coin, NURSE PRACTITIONER
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 1301 1st St, Kennett, MO 63857
Phone: 573-888-8413    
Mrs. Sharon Ann Payne, FNP-C
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 501 Teaco Rd, Ste B, Kennett, MO 63857
Phone: 573-888-8828    Fax: 573-888-8849
Ginger L Smith, APRN NP-C
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 211 Teaco Rd, Kennett, MO 63857
Phone: 573-888-0001    Fax: 573-888-0006
Mrs. Connie Lynne Gurley, APRN-BC, FNP
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 1231 1st St, Suite 5, Kennett, MO 63857
Phone: 573-888-8690    Fax: 573-717-1085
Jennifer Leann Bader, FNP
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 920 Kennett St, Kennett, MO 63857
Phone: 573-717-1130    
Kristina Lynn Wadley, FNP-C
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 304 Teaco Rd, Kennett, MO 63857
Phone: 573-559-3591    

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).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.