Long Term Care Of North County Llc is a medicare enrolled primary clinic (Internal Medicine) in Black Jack, Missouri. The current practice location for Long Term Care Of North County Llc is 4401 Parker Rd, Black Jack, Missouri. For appointments, you can reach them via phone at
(314) 312-0720. The mailing address for Long Term Care Of North County Llc is Po Box 611, Florissant, Missouri and phone number is (314) 312-0720.
Long Term Care Of North County Llc is licensed to practice in * (Not Available) (license number ). The clinic also participates in the medicare program and its
NPI number is 1962915074. 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) 312-0720.
Primary Care Clinic Profile
| Full Name | Long Term Care Of North County Llc |
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| Speciality | Internal Medicine |
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| Location | 4401 Parker Rd, Black Jack, Missouri |
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| Authorized Official Name and Position | Mary Colette Schmidt (OWNER) |
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| Authorized Official Contact | 3149224048 |
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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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Long Term Care Of North County Llc
Po Box 611
Florissant
MO 63032-0611
Ph: (314) 312-0720 | Long Term Care Of North County Llc
4401 Parker Rd
Black Jack
MO 63033-4266
Ph: (314) 312-0720 |
NPI Details:
| NPI Number | 1962915074 |
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| Provider Enumeration Date | 11/10/2017 |
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| Last Update Date | 12/22/2023 |
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Medicare PECOS Information:
| Medicare PECOS PAC ID | 9032476171 |
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| Medicare Enrollment ID | O20171128003166 |
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Medical Identifiers
Medical identifiers for Long Term Care Of North County Llc such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1962915074 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
Medicare Reassignments
Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works.
Long Term Care Of North County Llc acts as a billing entity for following providers:
| Provider Name | Mary C Schmidt |
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| Provider Type | Practitioner - Internal Medicine |
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| Provider Identifiers | NPI Number: 1174504682
PECOS PAC ID: 7719069103
Enrollment ID: I20080123000918 |
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