Mary Colette Schmidt, MD is a medicare enrolled "Internal Medicine" physician in Black Jack, Missouri. She went to University Of Missouri, Columbia School Of Medicine and graduated in 1985 and has 40 years of diverse experience with area of expertise as Internal Medicine. Her current practice location is
4401 Parker Rd, Black Jack, Missouri. You can reach out to her office (for appointments etc.) via phone at
(314) 922-4048.
Mary Colette Schmidt is licensed to practice in Missouri (license number 36735) and she also participates in the medicare program. She
accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1174504682.
Physician's Profile
Full Name | Mary Colette Schmidt |
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Gender | Female |
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Speciality | Internal Medicine |
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Experience | 40 Years |
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Location | 4401 Parker Rd, Black Jack, Missouri |
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Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Medical Education and Training:
- Mary Colette Schmidt attended and graduated from University Of Missouri, Columbia School Of Medicine in 1985
NPI Data:
- NPI Number: 1174504682
- Provider Enumeration Date: 11/10/2005
- Last Update Date: 12/22/2023
Medicare PECOS Information:
- PECOS PAC ID: 7719069103
- Enrollment ID: I20080123000918
Medical Identifiers
Medical identifiers for Mary Colette Schmidt such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1174504682 | NPI | - | NPPES |
000000010050 | Other | MO | ESSENCE |
24287 | Other | MO | BCBS |
A14103 | Other | MO | MERCY |
138775 | Other | MO | GHP |
4401357 | Other | MO | AETNA |
101339 | Other | MO | HEALTHLINK |
0400603 | Other | MO | UHC |
202507604 | Medicaid | MO | |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
207R00000X | Internal Medicine | 36735 (Missouri) | Primary |
Medical Facilities Affiliation
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. Mary Colette Schmidt allows following entities to bill medicare on her behalf.
Entity Name | Long Term Care Of North County Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1962915074 PECOS PAC ID: 9032476171 Enrollment ID: O20171128003166 |
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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. Mary Colette Schmidt 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 |
Mary Colette Schmidt, MD Po Box 611, Florissant, MO 63032-0611 Ph: (314) 922-4048 | Mary Colette Schmidt, MD 4401 Parker Rd, Black Jack, MO 63033-4266 Ph: (314) 922-4048 |
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