Cindy Marie Fortado-clark, MD in Saint Peters, MO

Cindy Marie Fortado-clark, MD is a medicare enrolled "Family Medicine" physician in Saint Peters, Missouri. She went to University Of Illinois College Of Med (chi/peor/rock/chm-urb) and graduated in 1986 and has 38 years of diverse experience with area of expertise as Family Practice. She is a member of the group practice Physician Groups Lc and her current practice location is 201 Bjc Saint Peters Dr Ste 200, Saint Peters, Missouri. You can reach out to her office (for appointments etc.) via phone at (636) 916-9615.

Cindy Marie Fortado-clark is licensed to practice in Missouri (license number RIK22) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1629118088.

Contact Information

	Cindy Marie Fortado-clark, MD
	201 Bjc Saint Peters Dr Ste 200, Saint Peters, MO 63376-3091
	(636) 916-9615
	(636) 916-7461

Map and Direction

Physician's Profile

Full Name	Cindy Marie Fortado-clark
Gender	Female
Speciality	Family Practice
Experience	38 Years
Location	201 Bjc Saint Peters Dr Ste 200, Saint Peters, Missouri
Accepts Medicare Assignments	Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Cindy Marie Fortado-clark attended and graduated from University Of Illinois College Of Med (chi/peor/rock/chm-urb) in 1986

NPI Data:

NPI Number: 1629118088
Provider Enumeration Date: 02/07/2007
Last Update Date: 02/04/2021

Medicare PECOS Information:

PECOS PAC ID: 7618015611
Enrollment ID: I20091112000045

Medical Identifiers

Medical identifiers for Cindy Marie Fortado-clark such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1629118088	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207Q00000X	Family Medicine	RIK22 (Missouri)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Bjc Home Care Services	Saint louis, MO	Home health agency
Barnes-jewish St Peters Hospital	Saint peters, MO	Hospital
Christian Hospital Northeast	Saint louis, MO	Hospital
Progress West Hospital	O fallon, MO	Hospital
Missouri Baptist Medical Center	Town and country, MO	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Physician Groups Lc	3072421254	427

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. Cindy Marie Fortado-clark allows following entities to bill medicare on her behalf.

Entity Name	Physician Groups Lc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1285664268 PECOS PAC ID: 3072421254 Enrollment ID: O20040220001157

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. Cindy Marie Fortado-clark 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
Cindy Marie Fortado-clark, MD 201 Bjc Saint Peters Dr Ste 200, Saint Peters, MO 63376-3386 Ph: (636) 916-9615	Cindy Marie Fortado-clark, MD 201 Bjc Saint Peters Dr Ste 200, Saint Peters, MO 63376-3091 Ph: (636) 916-9615

Reviews and Comments

Family Medicine Doctors in Saint Peters, MO

Anna Andreevna Klass, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 107 Piper Hill Dr Ste 100, Saint Peters, MO 63376 Phone: 636-939-0648
Dr. Mark D Hingst, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 6994 Mexico Rd, Saint Peters, MO 63376 Phone: 636-397-3231
Dr. Richard J Leahy, D.O. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1600 Heritage Lndg, Ste 215, Saint Peters, MO 63303 Phone: 636-939-4200 Fax: 636-939-4204
Anne Lyng Hibbard, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 201 Bjc Saint Peters Dr Ste 200, Saint Peters, MO 63376 Phone: 636-916-9615 Fax: 636-916-9850
Samara Epps Mcelroy, DO Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 201 Bjc Saint Peters Dr Ste 200, Saint Peters, MO 63376 Phone: 636-916-9615 Fax: 636-916-9850
Steven Michael Radel, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 201 Bjc Saint Peters Dr Ste 200, Saint Peters, MO 63376 Phone: 636-916-9615 Fax: 636-916-9850
Chad Morris Voges, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 103 Olympic Way, Saint Peters, MO 63376 Phone: 636-244-2373

Cindy Marie Fortado-clark, MD - Medicare Family Practice in Saint Peters, MO