St Louis Medical Center Inc is a medicare enrolled "General Practice" provider in Saint Louis, Missouri. Their current practice location is
1701 S Florissant Rd, Saint Louis, Missouri. You can reach out to their office (for appointments etc.) via phone at
(314) 522-0042.
St Louis Medical Center Inc is licensed to practice in Missouri (license number ) and it also participates in the medicare program. St Louis Medical Center Inc
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 1730576224.
Healthcare Provider's Profile
| Full Name | St Louis Medical Center Inc |
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| Type | Facility |
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| Speciality | General Practice |
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| Location | 1701 S Florissant Rd, Saint Louis, Missouri |
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| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1730576224
- Provider Enumeration Date: 04/22/2015
- Last Update Date: 04/22/2015
Medicare PECOS Information:
- PECOS PAC ID: 7315268364
- Enrollment ID: O20150603001067
Medical Identifiers
Medical identifiers for St Louis Medical Center Inc such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1730576224 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 111N00000X | Chiropractor | (Missouri) | Secondary |
| 2081P2900X | Physical Medicine & Rehabilitation - Pain Medicine | (Missouri) | Secondary |
| 363L00000X | Nurse Practitioner | (Missouri) | Secondary |
| 208D00000X | General Practice | (Missouri) | Primary |
Medicare Reassignments
Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works.
St Louis Medical Center Inc acts as a billing entity for following providers:
| Provider Name | Jawed H Siddiqui |
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| Provider Type | Practitioner - Internal Medicine |
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| Provider Identifiers | NPI Number: 1699705293
PECOS PAC ID: 5799762415
Enrollment ID: I20040701000288 |
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| Provider Name | Donna M Baudendistel |
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| Provider Type | Practitioner - Nurse Practitioner |
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| Provider Identifiers | NPI Number: 1417904624
PECOS PAC ID: 8325007974
Enrollment ID: I20041008000148 |
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| Provider Name | David A Sciortino |
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| Provider Type | Practitioner - Chiropractic |
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| Provider Identifiers | NPI Number: 1497882088
PECOS PAC ID: 1850550716
Enrollment ID: I20120313000119 |
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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. St Louis Medical Center Inc 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 |
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St Louis Medical Center Inc
1701 S Florissant Rd,
Saint Louis, MO 63121-1131
Ph: (314) 522-0042 | St Louis Medical Center Inc
1701 S Florissant Rd,
Saint Louis, MO 63121-1131
Ph: (314) 522-0042 |
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