Keith Wickenhauser, MD in Saint Peters, MO - Medicare Internal Medicine

Keith Wickenhauser, MD is a medicare enrolled "Internal Medicine" physician in Saint Peters, Missouri. He went to Saint Louis University School Of Medicine and graduated in 2014 and has 10 years of diverse experience with area of expertise as Internal Medicine. He is a member of the group practice Boonslick Medical Group Inc, Ssm Select Rehab St Louis Llc and his current practice location is 201 Bjc Saint Peters Dr Ste 100, Saint Peters, Missouri. You can reach out to his office (for appointments etc.) via phone at (636) 916-8200.

Keith Wickenhauser is licensed to practice in Missouri (license number 2018011071) 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 1184042855.

Contact Information

	Keith Wickenhauser, MD
	201 Bjc Saint Peters Dr Ste 100, Saint Peters, MO 63376
	(636) 916-8200
	(636) 946-5774

Map and Direction

Physician's Profile

Full Name	Keith Wickenhauser
Gender	Male
Speciality	Internal Medicine
Experience	10 Years
Location	201 Bjc Saint Peters Dr Ste 100, Saint Peters, Missouri
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:

Keith Wickenhauser attended and graduated from Saint Louis University School Of Medicine in 2014

NPI Data:

NPI Number: 1184042855
Provider Enumeration Date: 03/31/2014
Last Update Date: 07/22/2019

Medicare PECOS Information:

PECOS PAC ID: 1355657065
Enrollment ID: I20180718000317

Medical Identifiers

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

Identifier	Type	State	Issuer
1184042855	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207R00000X	Internal Medicine	R3656 (Kentucky)	Secondary
390200000X	Student In An Organized Health Care Education/training Program	(* (Not Available))	Secondary
207R00000X	Internal Medicine	2018011071 (Missouri)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Premiere Home Health	Saint charles, MO	Home health agency
Ssm Health At Home Home Health-st Louis	Saint louis, MO	Home health agency
Aw Health Care	Saint louis, MO	Home health agency
Nurses & Company Hospice Care	Saint peters, MO	Hospice
Vitas Healthcare Corporation Midwest	Saint louis, MO	Hospice
Bjc Hospice	Saint louis, MO	Hospice
Barnes-jewish St Peters Hospital	Saint peters, MO	Hospital
Christian Hospital Northeast	Saint louis, MO	Hospital
Ssm St Joseph Health Center	Saint charles, MO	Hospital
Progress West Hospital	O fallon, MO	Hospital
Ssm St Joseph Hospital West	Lake saint louis, MO	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Boonslick Medical Group Inc	3779481510	8
Ssm Select Rehab St Louis Llc	2567510449	130

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. Keith Wickenhauser allows following entities to bill medicare on his behalf.

Entity Name	Boonslick Medical Group Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1588662803 PECOS PAC ID: 3779481510 Enrollment ID: O20040727000319

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. Keith Wickenhauser 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
Keith Wickenhauser, MD 201 Bjc Saint Peters Dr Ste 100, Saint Peters, MO 63376-3386 Ph: (636) 916-8200	Keith Wickenhauser, MD 201 Bjc Saint Peters Dr Ste 100, Saint Peters, MO 63376 Ph: (636) 916-8200

Reviews and Comments

Internal Medicine Doctors in Saint Peters, MO

Furqan F Raja, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 70 Jungermann Circle, Suite 405, Saint Peters, MO 63376 Phone: 636-720-0310 Fax: 636-720-0311
Dr. Pierre Moeser, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 70 Jungermann Cir, Ste 300, Saint Peters, MO 63376 Phone: 636-916-9020 Fax: 636-916-9021
Dr. Ron Javdan, M.D. Internal Medicine Medicare: May Accept Medicare Assignments Practice Location: 6 Jungermann Cir, Suite 203, Saint Peters, MO 63376 Phone: 636-928-1822 Fax: 636-441-7033
Dr. Lawrence Osei, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 10 Hospital Dr, Dept Anesthesiology, Saint Peters, MO 63376 Phone: 800-862-9980 Fax: 314-362-1185
Dr. Anna Roshal, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 150 Entrance Way, Saint Peters, MO 63376 Phone: 636-916-9920 Fax: 636-916-9176
Dr. Sandeep Hindupur, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 10 Hospital Dr Ste 100, Saint Peters, MO 63376 Phone: 636-916-7272
April Thebeau, DO Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 10 Hospital Dr, Saint Peters, MO 63376 Phone: 314-317-0600 Fax: 314-317-0606

Keith Wickenhauser, MD - Medicare Internal Medicine in Saint Peters, MO