Center For Regenerative And Interventional Spine And Sports Pain is a medicare enrolled primary clinic (Pain Medicine - Interventional Pain Medicine) in Frontenac, Missouri. The current practice location for Center For Regenerative And Interventional Spine And Sports Pain is 10435 Clayton Rd Ste 110, Frontenac, Missouri. For appointments, you can reach them via phone at
(314) 312-2862. The mailing address for Center For Regenerative And Interventional Spine And Sports Pain is 3909 Castellina Way, Manteca, California and phone number is (314) 282-7246.
Center For Regenerative And Interventional Spine And Sports Pain is licensed to practice in * (Not Available) (license number ). The clinic also participates in the medicare program and its
NPI number is 1871132720. This medical practice
accepts medicare insurance (which means this clinic accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance). However, please confirm if they accept your insurance at
(314) 312-2862.
Primary Care Clinic Profile
| Full Name | Center For Regenerative And Interventional Spine And Sports Pain |
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| Speciality | Pain Medicine |
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| Location | 10435 Clayton Rd Ste 110, Frontenac, Missouri |
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| Authorized Official Name and Position | Kunj Govind Patel (DIRECTOR) |
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| Authorized Official Contact | 3142827246 |
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| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
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Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
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Center For Regenerative And Interventional Spine And Sports Pain
3909 Castellina Way
Manteca
CA 95337-8454
Ph: (314) 282-7246 | Center For Regenerative And Interventional Spine And Sports Pain
10435 Clayton Rd Ste 110
Frontenac
MO 63131-2930
Ph: (314) 312-2862 |
NPI Details:
| NPI Number | 1871132720 |
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| Provider Enumeration Date | 12/24/2019 |
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| Last Update Date | 01/10/2022 |
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Medicare PECOS Information:
| Medicare PECOS PAC ID | 9133555360 |
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| Medicare Enrollment ID | O20200207000497 |
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Medical Identifiers
Medical identifiers for Center For Regenerative And Interventional Spine And Sports Pain such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1871132720 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 207R00000X | Internal Medicine | (* (Not Available)) | Secondary |
| 2081P2900X | Physical Medicine & Rehabilitation - Pain Medicine | (* (Not Available)) | Secondary |
| 208VP0014X | Pain Medicine - Interventional Pain Medicine | (* (Not Available)) | Primary |
| 261QP2300X | Clinic/center - Primary Care | (* (Not Available)) | Secondary |
| 261QP3300X | Clinic/center - Pain | (* (Not Available)) | Secondary |
Medicare Reassignments
Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works.
Center For Regenerative And Interventional Spine And Sports Pain acts as a billing entity for following providers:
| Provider Name | Kunj G Patel |
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| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
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| Provider Identifiers | NPI Number: 1699185249
PECOS PAC ID: 7113220864
Enrollment ID: I20200207000600 |
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| Provider Name | Tisa Suzanne Ayers |
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| Provider Type | Practitioner - Nurse Practitioner |
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| Provider Identifiers | NPI Number: 1134718893
PECOS PAC ID: 1456740422
Enrollment ID: I20211112000200 |
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