Keith Edward Segall, DO - Medicare Family Medicine in Vienna, MO

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Keith Edward Segall, DO is a medicare enrolled "Family Medicine" physician in Vienna, Missouri. His current practice location is 111 Parkway, Vienna, Missouri. You can reach out to his office (for appointments etc.) via phone at (573) 422-3360.

Keith Edward Segall is licensed to practice in Missouri (license number D0106518) 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 1639245368.

Contact Information

Keith Edward Segall, DO
111 Parkway,
Vienna, MO 65582-8003
(573) 422-3360
(573) 422-3391

Map and Direction




Physician's Profile

Full NameKeith Edward Segall
GenderMale
SpecialityFamily Medicine
Location111 Parkway, Vienna, Missouri
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1639245368
  • Provider Enumeration Date: 11/27/2006
  • Last Update Date: 07/08/2007
  Medicare PECOS Information:
  • PECOS PAC ID: 9739084757
  • Enrollment ID: I20040331000436

Medical Identifiers

Medical identifiers for Keith Edward Segall such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1639245368NPI-NPPES
10048OtherMOBLUE CROSS
1904V1471OtherHEALTHCARE USA
G00218OtherMOMERCY HEALTH PLAN
V410OtherMOMISSOURI CARE
0120039OtherUNITED HEALTHCARE
13680OtherGROUP HEALTH PLAN
247757602MedicaidMO
257668OtherMOHEALTHLINK

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207Q00000XFamily Medicine D0106518 (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. Keith Edward Segall allows following entities to bill medicare on his behalf.
Entity NameJefferson City Medical Group Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1336189398
PECOS PAC ID: 1850371089
Enrollment ID: O20040908000924
Entity NameCapital Region Medical Center
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1477980837
PECOS PAC ID: 4688573686
Enrollment ID: O20070323000507

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. Keith Edward Segall 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
Keith Edward Segall, DO
111 Parkway,
Vienna, MO 65582-8003

Ph: (573) 422-3360		Keith Edward Segall, DO
111 Parkway,
Vienna, MO 65582-8003

Ph: (573) 422-3360

Reviews and Comments


Family Medicine Doctors in Vienna, MO


Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.