Ardis K Allison, DO - Medicare Pediatrics in O'fallon, MO

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.

Contact Information

Ardis K Allison, DO
5551 Winghaven Blvd, Suite 240,
O'fallon, MO 63368-3605
(636) 561-5561
(636) 561-5557

Map and Direction




Physician's Profile

Full NameArdis K Allison
GenderFemale
SpecialityPediatrics
Location5551 Winghaven Blvd, O'fallon, Missouri
Accepts Medicare AssignmentsMedicare 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.
IdentifierTypeStateIssuer
1487609616NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
208000000XPediatrics 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 NameSsm Health Care St Louis
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1275586174
PECOS PAC ID: 7810800737
Enrollment ID: O20031118000393

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 AddressPractice 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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Pediatrics Doctors in O'fallon, MO