Corrine Ann Dale, MD is a
Psychiatry & Neurology - Addiction Medicine based in Saint Louis, Missouri. Corrine Ann Dale is licensed to practice in Illinois (license number W236154637) and her current practice location is
1408 Farmview Ave, Saint Louis, Missouri. She can be reached at her office (for appointments etc.) via phone at
(314) 216-0199.
NPI number for Corrine Ann Dale is 1568660447 and her current mailing address is 1408 Farmview Ave, Saint Louis, Missouri. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1568660447.
Healthcare Provider's Profile
Full Name | Corrine Ann Dale |
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Gender | Female |
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Speciality | Psychiatry & Neurology - Addiction Medicine |
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Location | 1408 Farmview Ave, Saint Louis, Missouri |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1568660447
- Provider Enumeration Date: 07/03/2007
- Last Update Date: 09/12/2021
Medical Identifiers
Medical identifiers for Corrine Ann Dale such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1568660447 | NPI | - | NPPES |
497178301 | Medicaid | MO | |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
101YM0800X | Counselor - Mental Health | 2002026438 (Missouri) | Secondary |
2084A0401X | Psychiatry & Neurology - Addiction Medicine | W236154637 (Illinois) | Primary |
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. Corrine Ann Dale 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 |
Corrine Ann Dale, MD 1408 Farmview Ave, Saint Louis, MO 63138-2515 Ph: (314) 216-0199 | Corrine Ann Dale, MD 1408 Farmview Ave, Saint Louis, MO 63138-2515 Ph: (314) 216-0199 |
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