Traci L Kline, FNP is a medicare enrolled "Nurse Practitioner - Family" in Palmyra, Missouri. Her current practice location is
6996 County Road 326, Palmyra, Missouri. You can reach out to her office (for appointments etc.) via phone at
(573) 769-3710.
Traci L Kline is licensed to practice in Missouri (license number 2010026980) 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 1467767095.
Provider's Profile
| Full Name | Traci L Kline |
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| Gender | Female |
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| Speciality | Nurse Practitioner - Family |
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| Location | 6996 County Road 326, Palmyra, Missouri |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1467767095
- Provider Enumeration Date: 08/06/2010
- Last Update Date: 11/27/2023
Medicare PECOS Information:
- PECOS PAC ID: 9830383009
- Enrollment ID: I20101101001488
Medical Identifiers
Medical identifiers for Traci L Kline such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1467767095 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 163W00000X | Registered Nurse | 2003029335 (Missouri) | Secondary |
| 363LF0000X | Nurse Practitioner - Family | 2010026980 (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. Traci L Kline allows following entities to bill medicare on her behalf.
| Entity Name | Blessing Corporate Services, Inc. |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1245427608 PECOS PAC ID: 5991616138 Enrollment ID: O20040310000616 |
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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. Traci L Kline 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 |
Traci L Kline, FNP 6996 County Road 326, Palmyra, MO 63461-3119 Ph: (573) 769-3710 | Traci L Kline, FNP 6996 County Road 326, Palmyra, MO 63461-3119 Ph: (573) 769-3710 |
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