Ardis K Allison, DO is a medicare enrolled "Pediatrics" physician in O'fallon, Missouri. Her current practice location is
5551 Winghaven Blvd, Suite 240, O'fallon, Missouri. You can reach out to her office (for appointments etc.) via phone at
(636) 561-5561.
Ardis K Allison is licensed to practice in Missouri (license number R3J00) 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 1487609616.
Physician's Profile
Full Name | Ardis K Allison |
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Gender | Female |
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Speciality | Pediatrics |
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Location | 5551 Winghaven Blvd, O'fallon, Missouri |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1487609616
- Provider Enumeration Date: 05/24/2006
- Last Update Date: 04/22/2009
Medicare PECOS Information:
- PECOS PAC ID: 0648299321
- Enrollment ID: I20051114000010
Medical Identifiers
Medical identifiers for Ardis K Allison such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1487609616 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
208000000X | Pediatrics | R3J00 (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. Ardis K Allison allows following entities to bill medicare on her behalf.
Entity Name | Ssm Health Care St Louis |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1275586174 PECOS PAC ID: 7810800737 Enrollment ID: O20031118000393 |
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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. Ardis K Allison 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 |
Ardis K Allison, DO 5551 Winghaven Blvd, Suite 240, O Fallon, MO 63368-3617 Ph: (636) 561-5561 | Ardis K Allison, DO 5551 Winghaven Blvd, Suite 240, O'fallon, MO 63368-3605 Ph: (636) 561-5561 |
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