Dr Siroth Charnond, MD is a medicare enrolled "Internal Medicine" physician in Dardenne Prairie, Missouri. He went to University Of Missouri, Kansas City, School Of Medicine and graduated in 1995 and has 29 years of diverse experience with area of expertise as Internal Medicine. He is a member of the group practice Oak Street Health Physicians Group Of Missouri Llc and his current practice location is
7421 S Outer 364, Dardenne Prairie, Missouri. You can reach out to his office (for appointments etc.) via phone at
(636) 561-8100.
Dr Siroth Charnond is licensed to practice in Missouri (license number 108377) and he also participates in the medicare program. He
accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1265421218.
Physician's Profile
| Full Name | Dr Siroth Charnond |
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| Gender | Male |
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| Speciality | Internal Medicine |
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| Experience | 29 Years |
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| Location | 7421 S Outer 364, Dardenne Prairie, Missouri |
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| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Dr Siroth Charnond attended and graduated from University Of Missouri, Kansas City, School Of Medicine in 1995
NPI Data:
- NPI Number: 1265421218
- Provider Enumeration Date: 10/20/2005
- Last Update Date: 01/10/2022
Medicare PECOS Information:
- PECOS PAC ID: 3779617352
- Enrollment ID: I20100818000515
Medical Identifiers
Medical identifiers for Dr Siroth Charnond such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1265421218 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 207R00000X | Internal Medicine | 108377 (Missouri) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| Oak Street Health Physicians Group Of Missouri Llc | 7315340213 | 17 |
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 Siroth Charnond allows following entities to bill medicare on his behalf.
| Entity Name | Cjw Enterprises, Inc. |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1477876423
PECOS PAC ID: 9537293816
Enrollment ID: O20100823000820 |
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| Entity Name | Oak Street Health Physicians Group Of Missouri Llc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1669041760
PECOS PAC ID: 7315340213
Enrollment ID: O20210729003441 |
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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 Siroth Charnond 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 |
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Dr Siroth Charnond, MD
Po Box 740019,
Atlanta, GA 30374-0019
Ph: (312) 733-9730 | Dr Siroth Charnond, MD
7421 S Outer 364,
Dardenne Prairie, MO 63368-7014
Ph: (636) 561-8100 |
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