Tirae Lanise Abernathy, CNM is a medicare enrolled "Advanced Practice Midwife" in Florissant, Missouri. Her current practice location is
16736 Stanford Place Dr, Florissant, Missouri. You can reach out to her office (for appointments etc.) via phone at
(314) 629-7949.
Tirae Lanise Abernathy is licensed to practice in Missouri (license number 2023035282) 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 1427741156.
Provider's Profile
| Full Name | Tirae Lanise Abernathy |
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| Gender | Female |
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| Speciality | Advanced Practice Midwife |
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| Location | 16736 Stanford Place Dr, Florissant, 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: 1427741156
- Provider Enumeration Date: 05/30/2023
- Last Update Date: 08/28/2023
Medicare PECOS Information:
- PECOS PAC ID: 0941722912
- Enrollment ID: I20250319001850
Medical Identifiers
Medical identifiers for Tirae Lanise Abernathy such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1427741156 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 363LF0000X | Nurse Practitioner - Family | 2023035283 (Missouri) | Secondary |
| 367A00000X | Advanced Practice Midwife | 2023035282 (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. Tirae Lanise Abernathy allows following entities to bill medicare on her behalf.
| Entity Name | Affinia Healthcare |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1902816077
PECOS PAC ID: 1052386919
Enrollment ID: O20040902000048 |
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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. Tirae Lanise Abernathy 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 |
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Tirae Lanise Abernathy, CNM
16736 Stanford Place Dr,
Florissant, MO 63034-3213
Ph: () - | Tirae Lanise Abernathy, CNM
16736 Stanford Place Dr,
Florissant, MO 63034-3213
Ph: (314) 629-7949 |
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