Mr Andrew John Ninichuck, MD is a medicare enrolled "General Practice" physician in Bonne Terre, Missouri. He went to University Of Missouri, Columbia School Of Medicine and graduated in 1991 and has 33 years of diverse experience with area of expertise as General Practice. He is a member of the group practice Washington County Memorial Hospital and his current practice location is
527 Benham St, Bonne Terre, Missouri. You can reach out to his office (for appointments etc.) via phone at
(573) 358-9119.
Mr Andrew John Ninichuck is licensed to practice in Missouri (license number 102387) 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 1609841956.
Physician's Profile
Full Name | Mr Andrew John Ninichuck |
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Gender | Male |
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Speciality | General Practice |
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Experience | 33 Years |
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Location | 527 Benham St, Bonne Terre, 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. |
Medical Education and Training:
- Mr Andrew John Ninichuck attended and graduated from University Of Missouri, Columbia School Of Medicine in 1991
NPI Data:
- NPI Number: 1609841956
- Provider Enumeration Date: 02/21/2006
- Last Update Date: 11/10/2015
Medicare PECOS Information:
- PECOS PAC ID: 0749354249
- Enrollment ID: I20080731000726
Medical Identifiers
Medical identifiers for Mr Andrew John Ninichuck such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1609841956 | NPI | - | NPPES |
1609841956 | Medicaid | MO | |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
208D00000X | General Practice | 102387 (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. Mr Andrew John Ninichuck allows following entities to bill medicare on his behalf.
Entity Name | Washington County Memorial Hospital |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1194838821 PECOS PAC ID: 3476456880 Enrollment ID: O20040131000146 |
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Entity Name | Primary Care Of Bonne Terre Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1962883751 PECOS PAC ID: 4183925415 Enrollment ID: O20151210001830 |
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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. Mr Andrew John Ninichuck 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 |
Mr Andrew John Ninichuck, MD 527 Benham St, Bonne Terre, MO 63628-1205 Ph: (573) 358-9119 | Mr Andrew John Ninichuck, MD 527 Benham St, Bonne Terre, MO 63628-1205 Ph: (573) 358-9119 |
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