O Fallon Medical Ventures Llc is a
General Practice based in O Fallon, Illinois. O Fallon Medical Ventures Llc is licensed to practice in * (Not Available) (license number ) and their current practice location is
124 Regency Park Ste 7, O Fallon, Illinois. It can be reached at their office (for appointments etc.) via phone at
(480) 926-2260.
NPI number for O Fallon Medical Ventures Llc is 1891317517 and their current mailing address is 2250 E Germann Rd Ste 8, Chandler, Arizona. O Fallon Medical Ventures Llc
does not participate in medicare program and thus does not accept medicare assignments. The facility's NPI Number is 1891317517.
Healthcare Provider's Profile
| Full Name | O Fallon Medical Ventures Llc |
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| Type | Facility |
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| Speciality | General Practice |
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| Location | 124 Regency Park Ste 7, O Fallon, Illinois |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. The facility may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1891317517
- Provider Enumeration Date: 05/15/2020
- Last Update Date: 05/15/2020
Medical Identifiers
Medical identifiers for O Fallon Medical Ventures Llc such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1891317517 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 111N00000X | Chiropractor | (* (Not Available)) | Secondary |
| 208D00000X | General Practice | (* (Not Available)) | Primary |
| 225100000X | Physical Therapist | (* (Not Available)) | Secondary |
| 363A00000X | Physician Assistant | (* (Not Available)) | Secondary |
| 363LF0000X | Nurse Practitioner - Family | (* (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. O Fallon Medical Ventures Llc 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 |
|---|
O Fallon Medical Ventures Llc
2250 E Germann Rd Ste 8,
Chandler, AZ 85286-1575
Ph: () - | O Fallon Medical Ventures Llc
124 Regency Park Ste 7,
O Fallon, IL 62269-1994
Ph: (480) 926-2260 |
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