Bonne Terre Healthcare Clinic Llc - Medicare Mental Health Clinic in Bonne Terre, MO

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Bonne Terre Healthcare Clinic Llc is a medicare enrolled mental health clinic (Nurse Practitioner - Family) in Bonne Terre, Missouri. The current practice location for Bonne Terre Healthcare Clinic Llc is 11 S Division St Ste A, Bonne Terre, Missouri. For appointments, you can reach them via phone at (573) 723-1100. The mailing address for Bonne Terre Healthcare Clinic Llc is 11 S Division St Ste A, Bonne Terre, Missouri and phone number is (573) 723-1100.

Bonne Terre Healthcare Clinic Llc is licensed to practice in * (Not Available) (license number ). The clinic also participates in the medicare program and its NPI number is 1962043802. 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 (573) 723-1100.

Contact Information

Bonne Terre Healthcare Clinic Llc
11 S Division St Ste A
Bonne Terre
MO 63628-1701
(573) 723-1100
(573) 723-1130

Map and Direction


Mental Health Clinic Profile

Full NameBonne Terre Healthcare Clinic Llc
SpecialityNurse Practitioner
Location11 S Division St Ste A, Bonne Terre, Missouri
Authorized Official Name and PositionMary Elizabeth Chandler (OWNER/PROVIDER)
Authorized Official Contact5737231100
Accepts Medicare InsuranceYes. This clinic participates in medicare program and accept medicare insurance.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Bonne Terre Healthcare Clinic Llc
11 S Division St Ste A
Bonne Terre
MO 63628-1701

Ph: (573) 723-1100		Bonne Terre Healthcare Clinic Llc
11 S Division St Ste A
Bonne Terre
MO 63628-1701

Ph: (573) 723-1100

NPI Details:

NPI Number1962043802
Provider Enumeration Date10/02/2019
Last Update Date02/25/2024
Certification Date02/25/2024

Medicare PECOS Information:

Medicare PECOS PAC ID6103253919
Medicare Enrollment IDO20200217001228

Medical Identifiers

Medical identifiers for Bonne Terre Healthcare Clinic Llc such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1962043802NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
101YM0800XCounselor - Mental Health (* (Not Available))Secondary
363LP0200XNurse Practitioner - Pediatrics (* (Not Available))Secondary
363LP0808XNurse Practitioner - Psychiatric/mental Health (* (Not Available))Secondary
363LP2300XNurse Practitioner - Primary Care (* (Not Available))Secondary
363LW0102XNurse Practitioner - Women's Health (* (Not Available))Secondary
363LF0000XNurse Practitioner - Family (* (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. Bonne Terre Healthcare Clinic Llc acts as a billing entity for following providers:
Provider NameAnn Mirette Kirby
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1154644870
PECOS PAC ID: 9739218173
Enrollment ID: I20100524000861
Provider NameBrian M Braumiller
Provider TypePractitioner - Psychiatry
Provider IdentifiersNPI Number: 1710181029
PECOS PAC ID: 5799751855
Enrollment ID: I20120529000220
Provider NameMary Chandler
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1780082206
PECOS PAC ID: 2860716719
Enrollment ID: I20150123001285

Reviews and Comments

Nurse Practitioner in Bonne Terre, MO

My Restored Balance Llc
Mental Health Clinic
Medicare: Not Enrolled in Medicare
Practice Location: 202 N Division St, Bonne Terre, MO 63628
Phone: 573-604-4167    Fax: 866-811-7475
Mcintyre Psychological Services
Mental Health Clinic
Medicare: Not Enrolled in Medicare
Practice Location: 319 Saint Pierre St, Bonne Terre, MO 63628
Phone: 573-315-3800    
Kybama, Inc
Mental Health Clinic
Medicare: Not Enrolled in Medicare
Practice Location: 12729 Stoney Point Rd, Bonne Terre, MO 63628
Phone: 573-631-2897    Fax: 573-358-8727

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).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.