Independence Center - Medicare in Saint Louis, MO

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Independence Center is a medicare enrolled "Psychiatry & Neurology - Psychiatry" provider in Saint Louis, Missouri. Their current practice location is 4219 Laclede Ave, Suite B, Saint Louis, Missouri. You can reach out to their office (for appointments etc.) via phone at (314) 286-4545.

Independence Center is licensed to practice in * (Not Available) (license number ) and it also participates in the medicare program. Independence Center 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 1174668289.

Contact Information

Independence Center
4219 Laclede Ave, Suite B,
Saint Louis, MO 63108-2814
(314) 286-4545
(314) 286-4542

Map and Direction




Healthcare Provider's Profile

Full NameIndependence Center
TypeFacility
SpecialityPsychiatry & Neurology - Psychiatry
Location4219 Laclede Ave, Saint Louis, Missouri
Accepts Medicare AssignmentsMedicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1174668289
  • Provider Enumeration Date: 02/20/2007
  • Last Update Date: 06/27/2022
  Medicare PECOS Information:
  • PECOS PAC ID: 1759341852
  • Enrollment ID: O20051111000129

Medical Identifiers

Medical identifiers for Independence Center such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1174668289NPI-NPPES
503350506MedicaidMO
560003943MedicaidMO

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
225X00000XOccupational Therapist (* (Not Available))Secondary
2084P0800XPsychiatry & Neurology - Psychiatry (* (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. Independence Center acts as a billing entity for following providers:
Provider NameCharles R Conway
Provider TypePractitioner - Psychiatry
Provider IdentifiersNPI Number: 1497771356
PECOS PAC ID: 5395824353
Enrollment ID: I20080502000306
Provider NameSarah M Hartz
Provider TypePractitioner - Psychiatry
Provider IdentifiersNPI Number: 1922216829
PECOS PAC ID: 5698826030
Enrollment ID: I20090625000299
Provider NameBarbara L Devos Schoenig
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1164715306
PECOS PAC ID: 8628247475
Enrollment ID: I20110811000466
Provider NameLaura E Romer
Provider TypePractitioner - Certified Clinical Nurse Specialist (cns)
Provider IdentifiersNPI Number: 1477697746
PECOS PAC ID: 4688840069
Enrollment ID: I20120106000149
Provider NameElodie A Andrews
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1184924276
PECOS PAC ID: 9032354717
Enrollment ID: I20130329000032
Provider NameKacey Alexandra Patterson
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1619433125
PECOS PAC ID: 6800138322
Enrollment ID: I20190503000476
Provider NameDavid N Daniels
Provider TypePractitioner - Psychiatry
Provider IdentifiersNPI Number: 1639512809
PECOS PAC ID: 2365744745
Enrollment ID: I20210428000552
Provider NameCarly Ann Masinelli
Provider TypePractitioner - Occupational Therapist In Private Practice
Provider IdentifiersNPI Number: 1598490724
PECOS PAC ID: 4981087103
Enrollment ID: I20220819001439
Provider NameKatherine Louise Denney
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1942927207
PECOS PAC ID: 1456728773
Enrollment ID: I20221029000210
Provider NameDarcel Tyson
Provider TypePractitioner - Mental Health Counselor
Provider IdentifiersNPI Number: 1912314568
PECOS PAC ID: 2668906710
Enrollment ID: I20241112001385
Provider NameJeffrey Thomas Brandt
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1952125585
PECOS PAC ID: 5597290296
Enrollment ID: I20241118003523

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. Independence Center 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
Independence Center
4245 Forest Park Ave,
Saint Louis, MO 63108-2810

Ph: (314) 880-5401		Independence Center
4219 Laclede Ave, Suite B,
Saint Louis, MO 63108-2814

Ph: (314) 286-4545

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).

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.