Keith Wickenhauser, MD in Saint Charles, MO - Medicare Internal Medicine

Keith Wickenhauser, MD is a medicare enrolled "Internal Medicine" physician in Saint Charles, Missouri. He went to Saint Louis University School Of Medicine and graduated in 2014 and has 10 years of diverse experience with area of expertise as Internal Medicine. He is a member of the group practice Ssm Select Rehab St Louis Llc, Boonslick Medical Group Inc and his current practice location is 711 Veterans Memorial Pkwy Ste 300, Saint Charles, Missouri. You can reach out to his office (for appointments etc.) via phone at (636) 669-2350.

Keith Wickenhauser is licensed to practice in Missouri (license number 2018011071) 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 1184042855.

Contact Information

	Keith Wickenhauser, MD
	711 Veterans Memorial Pkwy Ste 300, Saint Charles, MO 63303-2106
	(636) 669-2350
	Not Available

Map and Direction

Physician's Profile

Full Name	Keith Wickenhauser
Gender	Male
Speciality	Internal Medicine
Experience	10 Years
Location	711 Veterans Memorial Pkwy Ste 300, Saint Charles, Missouri
Accepts Medicare Assignments	Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Keith Wickenhauser attended and graduated from Saint Louis University School Of Medicine in 2014

NPI Data:

NPI Number: 1184042855
Provider Enumeration Date: 03/31/2014
Last Update Date: 09/03/2024

Medicare PECOS Information:

PECOS PAC ID: 1355657065
Enrollment ID: I20180718000317

Medical Identifiers

Medical identifiers for Keith Wickenhauser such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1184042855	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207R00000X	Internal Medicine	R3656 (Kentucky)	Secondary
208000000X	Pediatrics	2018011071 (Missouri)	Secondary
207R00000X	Internal Medicine	2018011071 (Missouri)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Premiere Home Health	Saint charles, MO	Home health agency
Med-staff Home Health, Llc	Saint louis, MO	Home health agency
Aw Health Care	Saint louis, MO	Home health agency
Ssm Health At Home Home Health-st Louis	Saint louis, MO	Home health agency
Nurses & Company Hospice Care	Saint peters, MO	Hospice
Bjc Hospice	Saint louis, MO	Hospice
Barnes-jewish St Peters Hospital	Saint peters, MO	Hospital
Christian Hospital Northeast	Saint louis, MO	Hospital
Ssm St Joseph Health Center	Saint charles, MO	Hospital
Progress West Hospital	O fallon, MO	Hospital
Ssm St Joseph Hospital West	Lake saint louis, MO	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Ssm Select Rehab St Louis Llc	2567510449	119
Boonslick Medical Group Inc	3779481510	7

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 Wickenhauser allows following entities to bill medicare on his behalf.

Entity Name	Boonslick Medical Group Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1588662803 PECOS PAC ID: 3779481510 Enrollment ID: O20040727000319

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 Wickenhauser 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
Keith Wickenhauser, MD Po Box 955534, Saint Louis, MO 63195-5534 Ph: () -	Keith Wickenhauser, MD 711 Veterans Memorial Pkwy Ste 300, Saint Charles, MO 63303-2106 Ph: (636) 669-2350

Reviews and Comments

Internal Medicine Doctors in Saint Charles, MO

Lawrence Stephen Tierney, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 400 1st Capitol Dr Ste 201, Saint Charles, MO 63301 Phone: 636-669-2332
Syed A Khalid, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 300 1st Capitol Dr, Saint Charles, MO 63301 Phone: 636-647-5000 Fax: 636-947-5090
Guangchen Zou, M.D. Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 1820 Zumbehl Rd Ste 120, Saint Charles, MO 63303 Phone: 314-801-5350 Fax: 314-801-5323
Dr. Stephen M Comens, M.D. Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 1551 Wall St, 4th Floor, Saint Charles, MO 63303 Phone: 636-669-2220 Fax: 636-669-2401
Dr. Shephali Himanshu Wulff, D.O Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 330 1st Capitol Dr Ste 260, Saint Charles, MO 63301 Phone: 636-925-0900
Jerome E Thurman, M.D.,F.A.C.E. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 711 Veterans Memorial Pkwy Ste 200, Saint Charles, MO 63303 Phone: 636-669-2219 Fax: 636-669-2380

Keith Wickenhauser, MD - Medicare Internal Medicine in Saint Charles, MO