Dr Jacqueline Fairchild, MD - Internal Medicine in Saint Louis, MO

Dr Jacqueline Fairchild, MD is a Internal Medicine physician based in Saint Louis, Missouri. Dr Jacqueline Fairchild is licensed to practice in Missouri (license number 2007022721) and her current practice location is 11709 Old Ballas Rd Ste 101, Saint Louis, Missouri. She can be reached at her office (for appointments etc.) via phone at (314) 993-1200.

NPI number for Dr Jacqueline Fairchild is 1912014184 and her current mailing address is 11709 Old Ballas Rd Ste 101, Saint Louis, Missouri. She does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1912014184.

Contact Information

Dr Jacqueline Fairchild, MD
11709 Old Ballas Rd Ste 101,
Saint Louis, MO 63141-7029
(314) 993-1200
(314) 993-1240

Map and Direction




Physician's Profile

Full NameDr Jacqueline Fairchild
GenderFemale
SpecialityInternal Medicine
Location11709 Old Ballas Rd Ste 101, Saint Louis, Missouri
Accepts Medicare AssignmentsDoes not participate in Medicare Program. She may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1912014184
  • Provider Enumeration Date: 08/24/2006
  • Last Update Date: 03/11/2024

Medical Identifiers

Medical identifiers for Dr Jacqueline Fairchild such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1912014184NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207R00000XInternal Medicine 2007022721 (Missouri)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. Dr Jacqueline Fairchild 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 AddressPractice Location Address
Dr Jacqueline Fairchild, MD
11709 Old Ballas Rd Ste 101,
Saint Louis, MO 63141-7029

Ph: (314) 993-1200
Dr Jacqueline Fairchild, MD
11709 Old Ballas Rd Ste 101,
Saint Louis, MO 63141-7029

Ph: (314) 993-1200

Reviews and Comments


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