Dr Samuel Cooper Engemann, DO is a medicare enrolled "Internal Medicine" physician in High Ridge, Missouri. His current practice location is
2680 Gravois Rd, High Ridge, Missouri. You can reach out to his office (for appointments etc.) via phone at
(636) 253-5120.
Dr Samuel Cooper Engemann is licensed to practice in Missouri (license number 2022030228) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1922413715.
Physician's Profile
Full Name | Dr Samuel Cooper Engemann |
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Gender | Male |
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Speciality | Internal Medicine |
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Location | 2680 Gravois Rd, High Ridge, 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: 1922413715
- Provider Enumeration Date: 06/30/2014
- Last Update Date: 09/07/2023
Medicare PECOS Information:
- PECOS PAC ID: 7012268212
- Enrollment ID: I20220908002286
Medical Identifiers
Medical identifiers for Dr Samuel Cooper Engemann such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1922413715 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
207R00000X | Internal Medicine | 2022030228 (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. Dr Samuel Cooper Engemann allows following entities to bill medicare on his behalf.
Entity Name | Mercy Clinic East Communities |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1851335228 PECOS PAC ID: 7214827922 Enrollment ID: O20070521000006 |
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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. Dr Samuel Cooper Engemann 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 |
Dr Samuel Cooper Engemann, DO 2680 Gravois Rd, High Ridge, MO 63049-2508 Ph: (636) 253-5120 | Dr Samuel Cooper Engemann, DO 2680 Gravois Rd, High Ridge, MO 63049-2508 Ph: (636) 253-5120 |
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