Imac Regeneration Center Of St. Louis is a
Family Medicine - Sports Medicine based in Chesterfield, Missouri. Imac Regeneration Center Of St. Louis is licensed to practice in * (Not Available) (license number ) and their current practice location is
13353 Olive Blvd, Chesterfield, Missouri. It can be reached at their office (for appointments etc.) via phone at
(314) 200-4955.
NPI number for Imac Regeneration Center Of St. Louis is 1306203096 and their current mailing address is 2725 James Sanders Blvd, Suite A, Paducah, Kentucky. Imac Regeneration Center Of St. Louis
does not participate in medicare program and thus does not accept medicare assignments. The facility's NPI Number is 1306203096.
Healthcare Provider's Profile
| Full Name | Imac Regeneration Center Of St. Louis |
|---|
| Type | Facility |
|---|
| Speciality | Family Medicine - Sports Medicine |
|---|
| Location | 13353 Olive Blvd, Chesterfield, Missouri |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. The facility may not accept medicare assignment. |
|---|
NPI Data:
- NPI Number: 1306203096
- Provider Enumeration Date: 01/26/2016
- Last Update Date: 08/19/2020
Medical Identifiers
Medical identifiers for Imac Regeneration Center Of St. Louis such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1306203096 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 111N00000X | Chiropractor | (* (Not Available)) | Secondary |
| 111NX0800X | Chiropractor - Orthopedic | (* (Not Available)) | Secondary |
| 207L00000X | Anesthesiology | (* (Not Available)) | Secondary |
| 207QS0010X | Family Medicine - Sports Medicine | (* (Not Available)) | Primary |
| 207XX0005X | Orthopaedic Surgery - Sports Medicine | (* (Not Available)) | Secondary |
| 208100000X | Physical Medicine & Rehabilitation | (* (Not Available)) | Secondary |
| 208VP0000X | Pain Medicine - Pain Medicine | (* (Not Available)) | Secondary |
| 225100000X | Physical Therapist | (* (Not Available)) | Secondary |
| 225700000X | Massage Therapist | (* (Not Available)) | Secondary |
| 225X00000X | Occupational Therapist | (* (Not Available)) | Secondary |
| 227800000X | Respiratory Therapist, Certified | (* (Not Available)) | Secondary |
| 363AM0700X | Physician Assistant - Medical | (* (Not Available)) | Secondary |
| 363LP2300X | Nurse Practitioner - Primary Care | (* (Not Available)) | Secondary |
| 363LX0106X | Nurse Practitioner - Occupational Health | (* (Not Available)) | Secondary |
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. Imac Regeneration Center Of St. Louis is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Imac Regeneration Center Of St. Louis
2725 James Sanders Blvd, Suite A,
Paducah, KY 42001-8401
Ph: (314) 200-4955 | Imac Regeneration Center Of St. Louis
13353 Olive Blvd,
Chesterfield, MO 63017-3108
Ph: (314) 200-4955 |
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