Patricia Kelley Deforest, DO - Medicare Pediatrics in Rolla, MO

Patricia Kelley Deforest, DO is a medicare enrolled "Pediatrics" physician in Rolla, Missouri. Her current practice location is 1050 W 10th St, Rolla, Missouri. You can reach out to her office (for appointments etc.) via phone at (573) 426-3225.

Patricia Kelley Deforest is licensed to practice in Missouri (license number 2020039826) 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 1386030526.

Contact Information

Patricia Kelley Deforest, DO
1050 W 10th St,
Rolla, MO 65401-2905
(573) 426-3225
(573) 202-2444



Physician's Profile

Full NamePatricia Kelley Deforest
GenderFemale
SpecialityPediatrics
Location1050 W 10th St, Rolla, Missouri
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1386030526
  • Provider Enumeration Date: 04/14/2015
  • Last Update Date: 12/31/2020
  Medicare PECOS Information:
  • PECOS PAC ID: 5294025953
  • Enrollment ID: I20190613002969

Medical Identifiers

Medical identifiers for Patricia Kelley Deforest such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1386030526NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
208000000XPediatrics R7197 (Texas)Secondary
208000000XPediatrics 2020039826 (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. Patricia Kelley Deforest allows following entities to bill medicare on her behalf.
Entity NameCommunity Medicine Associates
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1245313329
PECOS PAC ID: 7719979509
Enrollment ID: O20040401000372

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Entity NameUniversity Of Texas Health Science Center At San Antonio
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1720051717
PECOS PAC ID: 0042128548
Enrollment ID: O20040607000664

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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. Patricia Kelley Deforest 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
Patricia Kelley Deforest, DO
1050 W 10th St,
Rolla, MO 65401-2905

Ph: (573) 426-3225
Patricia Kelley Deforest, DO
1050 W 10th St,
Rolla, MO 65401-2905

Ph: (573) 426-3225

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Pediatrics Doctors in Rolla, MO

Katherine Sue Cook, M.D.
Pediatrics
Medicare: Not Enrolled in Medicare
Practice Location: 700 W 11th St, Rolla, MO 65401
Phone: 573-364-1900    Fax: 573-364-7365
James T Burdett, MD
Pediatrics
Medicare: Medicare Enrolled
Practice Location: 1050 W 10th St, Rolla, MO 65401
Phone: 573-364-9000    Fax: 573-426-6694
Dr. Elizabeth C Dodd, D.O.
Pediatrics
Medicare: Medicare Enrolled
Practice Location: 910 W 10th St, Rolla, MO 65409
Phone: 573-341-4284    
Shawna C Gifford, MD
Pediatrics
Medicare: Medicare Enrolled
Practice Location: 1050 W 10th St, Rolla, MO 65401
Phone: 573-364-9000    Fax: 573-426-3643
Jonathan Lee Minor, M.D.
Pediatrics
Medicare: Medicare Enrolled
Practice Location: 910 W 10th St, Rolla, MO 65409
Phone: 573-342-4284    Fax: 573-341-6967
Dr. Sean A. Mcenaney, MD
Pediatrics
Medicare: Medicare Enrolled
Practice Location: 1100 W 10th St, Suite 175, Rolla, MO 65401
Phone: 573-341-9163    Fax: 573-368-4248

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