Imac Regeneration Center Of St. Louis - Medicare in Chesterfield, MO

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Imac Regeneration Center Of St. Louis is a medicare enrolled "Family Medicine - Sports Medicine" provider in Chesterfield, Missouri. Their current practice location is 13353 Olive Blvd, Chesterfield, Missouri. You can reach out to their office (for appointments etc.) via phone at (314) 200-4955.

Imac Regeneration Center Of St. Louis is licensed to practice in * (Not Available) (license number ) and it also participates in the medicare program. Imac Regeneration Center Of St. Louis is enrolled with medicare and should accept medicare assignments and since they are enrolled in medicare, they may order Medicare Part D Prescription drugs, if eligible. The facility's NPI Number is 1306203096.

Contact Information

Imac Regeneration Center Of St. Louis
13353 Olive Blvd,
Chesterfield, MO 63017-3108
(314) 200-4955
(314) 682-6001

Map and Direction




Healthcare Provider's Profile

Full NameImac Regeneration Center Of St. Louis
TypeFacility
SpecialityFamily Medicine - Sports Medicine
Location13353 Olive Blvd, Chesterfield, Missouri
Accepts Medicare AssignmentsMedicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1306203096
  • Provider Enumeration Date: 01/26/2016
  • Last Update Date: 08/19/2020
  Medicare PECOS Information:
  • PECOS PAC ID: 8426348418
  • Enrollment ID: O20160603000197

Medical Identifiers

Medical identifiers for Imac Regeneration Center Of St. Louis such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1306203096NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
111N00000XChiropractor (* (Not Available))Secondary
111NX0800XChiropractor - Orthopedic (* (Not Available))Secondary
207L00000XAnesthesiology (* (Not Available))Secondary
207QS0010XFamily Medicine - Sports Medicine (* (Not Available))Primary
207XX0005XOrthopaedic Surgery - Sports Medicine (* (Not Available))Secondary
208100000XPhysical Medicine & Rehabilitation (* (Not Available))Secondary
208VP0000XPain Medicine - Pain Medicine (* (Not Available))Secondary
225100000XPhysical Therapist (* (Not Available))Secondary
225700000XMassage Therapist (* (Not Available))Secondary
225X00000XOccupational Therapist (* (Not Available))Secondary
227800000XRespiratory Therapist, Certified (* (Not Available))Secondary
363AM0700XPhysician Assistant - Medical (* (Not Available))Secondary
363LP2300XNurse Practitioner - Primary Care (* (Not Available))Secondary
363LX0106XNurse Practitioner - Occupational Health (* (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. Imac Regeneration Center Of St. Louis acts as a billing entity for following providers:
Provider NameSandra Miller
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1578573549
PECOS PAC ID: 7113993320
Enrollment ID: I20040909000133
Provider NameChad A May
Provider TypePractitioner - Chiropractic
Provider IdentifiersNPI Number: 1881676815
PECOS PAC ID: 6406897594
Enrollment ID: I20050519000000
Provider NameDouglas Bouldin
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1770568727
PECOS PAC ID: 4880693936
Enrollment ID: I20061219000100
Provider NameLance M Dohogne
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1134478019
PECOS PAC ID: 0244482487
Enrollment ID: I20121214000176
Provider NameLaura D Clark
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1023455714
PECOS PAC ID: 7416190996
Enrollment ID: I20130903000079
Provider NameAnjuli N Ellis
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1801209234
PECOS PAC ID: 1557588233
Enrollment ID: I20140805000841
Provider NameSharon K Whalen
Provider TypePractitioner - Chiropractic
Provider IdentifiersNPI Number: 1154668028
PECOS PAC ID: 2466679824
Enrollment ID: I20140807002568
Provider NameDevin C Bell
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1710240221
PECOS PAC ID: 8527213768
Enrollment ID: I20150831003103
Provider NameEric Sheldon Siegal
Provider TypePractitioner - Chiropractic
Provider IdentifiersNPI Number: 1750608469
PECOS PAC ID: 0143354290
Enrollment ID: I20160615001995
Provider NameMichelle Flanagan
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1497831762
PECOS PAC ID: 6709155237
Enrollment ID: I20170627000930
Provider NameNadia Marie Hitchcock
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1194374728
PECOS PAC ID: 1557793189
Enrollment ID: I20191119002896
Provider NameDaniel Jennewein
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1851780613
PECOS PAC ID: 9234411323
Enrollment ID: I20200211002597
Provider NameJason Brame
Provider TypePractitioner - Chiropractic
Provider IdentifiersNPI Number: 1396952404
PECOS PAC ID: 8123110087
Enrollment ID: I20200405000327
Provider NameConnor Chastain
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1033784772
PECOS PAC ID: 4789084229
Enrollment ID: I20210621001711
Provider NameShelby A Rollings-gough
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1629677117
PECOS PAC ID: 0446667703
Enrollment ID: I20220527001965
Provider NameMaddisson A Haslett
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1700524618
PECOS PAC ID: 7416335419
Enrollment ID: I20220603000463

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. Imac Regeneration Center Of St. Louis 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 AddressPractice Location Address
Imac Regeneration Center Of St. Louis
2725 James Sanders Blvd, Suite A,
Paducah, KY 42001-8401

Ph: (314) 200-4955		Imac Regeneration Center Of St. Louis
13353 Olive Blvd,
Chesterfield, MO 63017-3108

Ph: (314) 200-4955

Reviews and Comments



Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

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