<unavail> in Florissant, MO - Medicare Internal Medicine

is a medicare enrolled primary clinic (Internal Medicine) in Florissant, Missouri. The current practice location for is 11115 New Halls Ferry Rd, Suite 301, Florissant, Missouri. For appointments, you can reach them via phone at (314) 921-6200. The mailing address for is 11115 New Halls Ferry Rd, Suite 301, Florissant, Missouri and phone number is (314) 921-6200.

is licensed to practice in Missouri (license number R6047). The clinic also participates in the medicare program and its NPI number is 1447404991. 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) 921-6200.

Contact Information


	11115 New Halls Ferry Rd Suite 301 Florissant MO 63033-7613
	(314) 921-6200
	(314) 830-0756

Map and Direction

Primary Care Clinic Profile

Full Name
Speciality	Internal Medicine
Location	11115 New Halls Ferry Rd, Florissant, Missouri
Authorized Official Name and Position	Jawed H Siddiqui (PRESIDENT)
Authorized Official Contact	3149216200
Accepts Medicare Insurance	Yes. This clinic participates in medicare program and accept medicare insurance.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
11115 New Halls Ferry Rd Suite 301 Florissant MO 63033-7613 Ph: (314) 921-6200	11115 New Halls Ferry Rd Suite 301 Florissant MO 63033-7613 Ph: (314) 921-6200

NPI Details:

NPI Number	1447404991
Provider Enumeration Date	11/11/2008
Last Update Date	11/12/2008

Medicare PECOS Information:

Medicare PECOS PAC ID	8123188125
Medicare Enrollment ID	O20081120000627

Medical Identifiers

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

Identifier	Type	State	Issuer
1447404991	NPI	-	NPPES
110125678	Other	MO	RAILROAD MEDICARE
200668739	Medicaid	MO
7040870018	Medicaid	IL

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207R00000X	Internal Medicine	R6047 (Missouri)	Primary
207R00000X	Internal Medicine	036-056278 (Illinois)	Secondary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. acts as a billing entity for following providers:

Provider Name	Latanya Tunstall Robinson
Provider Type	Practitioner - Internal Medicine
Provider Identifiers	NPI Number: 1639213366 PECOS PAC ID: 4789674599 Enrollment ID: I20040514000005

Provider Name	Jawed H Siddiqui
Provider Type	Practitioner - Internal Medicine
Provider Identifiers	NPI Number: 1699705293 PECOS PAC ID: 5799762415 Enrollment ID: I20040701000288

Reviews and Comments

Internal Medicine in Florissant, MO

Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1225 Graham Rd, Suite 220, Florissant, MO 63031 Phone: 314-838-6700 Fax: 314-838-6020
Kim Lee Mcdonald, M.d., P.c. Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 4585 Washington St, Suite C4, Florissant, MO 63033 Phone: 314-838-8839 Fax: 314-838-4291
Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1150 Graham Rd, Suite 101, Florissant, MO 63031 Phone: 314-831-6737 Fax: 314-831-9269
Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1120 Shackelford Rd, Florissant, MO 63031 Phone: 314-921-4420 Fax: 314-921-6086
Chambers Medical Group Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 3533 Dunn Rd, Suite 204, Florissant, MO 63033 Phone: 314-831-2600 Fax: 314-831-5393
Chandra S. Kaup,m.d.,p.c. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1224 Graham Rd, Suite 2006, Florissant, MO 63031 Phone: 314-830-5233 Fax: 314-830-5225
Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1090 N Highway 67 St, Florissant, MO 63031 Phone: 314-961-2255 Fax: 314-270-3694

- Medicare Primary Care in Florissant, MO