Frontier Integrated Health Center Inc is a medicare enrolled "Clinic/center" provider in O Fallon, Missouri. Their current practice location is
199 Frontier Park Dr, O Fallon, Missouri. You can reach out to their office (for appointments etc.) via phone at
(636) 379-5934.
Frontier Integrated Health Center Inc is licensed to practice in Missouri (license number 112431) and it also participates in the medicare program. Frontier Integrated Health Center Inc
is enrolled with medicare and should accept medicare assignments and since they are enrolled in medicare, they may order Medicare Part D Prescription drugs, if eligible. The facility's NPI Number is 1114120649.
Healthcare Provider's Profile
| Full Name | Frontier Integrated Health Center Inc |
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| Type | Facility |
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| Speciality | Clinic/center |
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| Location | 199 Frontier Park Dr, O Fallon, Missouri |
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| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1114120649
- Provider Enumeration Date: 06/11/2007
- Last Update Date: 02/24/2022
Medicare PECOS Information:
- PECOS PAC ID: 6204814304
- Enrollment ID: O20040713001148
Medical Identifiers
Medical identifiers for Frontier Integrated Health Center Inc such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1114120649 | NPI | - | NPPES |
| 160876 | Other | MO | BLUECROSS |
| 2576722 | Other | MO | UNITED HEALTHCARE |
| 375245 | Other | MO | HEALTHLINK |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 111N00000X | Chiropractor | (* (Not Available)) | Secondary |
| 207Q00000X | Family Medicine | (* (Not Available)) | Secondary |
| 261Q00000X | Clinic/center | 112431 (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.
Frontier Integrated Health Center Inc acts as a billing entity for following providers:
| Provider Name | David J Hadden |
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| Provider Type | Practitioner - Chiropractic |
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| Provider Identifiers | NPI Number: 1184796732
PECOS PAC ID: 3476636721
Enrollment ID: I20080211000438 |
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| Provider Name | Raymond Ottomeyer |
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| Provider Type | Practitioner - Chiropractic |
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| Provider Identifiers | NPI Number: 1134235799
PECOS PAC ID: 5698782100
Enrollment ID: I20100819000064 |
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| Provider Name | Andrew S Rackovan |
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| Provider Type | Practitioner - Chiropractic |
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| Provider Identifiers | NPI Number: 1003239989
PECOS PAC ID: 9931330271
Enrollment ID: I20140328002225 |
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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. Frontier Integrated Health Center Inc 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 |
|---|
Frontier Integrated Health Center Inc
199 Frontier Park Dr,
O Fallon, MO 63366-3963
Ph: (636) 379-5934 | Frontier Integrated Health Center Inc
199 Frontier Park Dr,
O Fallon, MO 63366-3963
Ph: (636) 379-5934 |
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