St Louis Medical Clinic, P.c. - Medicare in Saint Louis, MO

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St Louis Medical Clinic, P.c. is a medicare enrolled "Internal Medicine" provider in Saint Louis, Missouri. Their current practice location is 3009 N Ballas Rd, Suite 100b, Saint Louis, Missouri. You can reach out to their office (for appointments etc.) via phone at (314) 432-1111.

St Louis Medical Clinic, P.c. is licensed to practice in * (Not Available) (license number ) and it also participates in the medicare program. St Louis Medical Clinic, P.c. 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 1174505127.

Contact Information

St Louis Medical Clinic, P.c.
3009 N Ballas Rd, Suite 100b,
Saint Louis, MO 63131-2322
(314) 432-1111
(314) 432-6308

Map and Direction




Healthcare Provider's Profile

Full NameSt Louis Medical Clinic, P.c.
TypeFacility
SpecialityInternal Medicine
Location3009 N Ballas Rd, 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: 1174505127
  • Provider Enumeration Date: 11/16/2005
  • Last Update Date: 07/02/2024
  Medicare PECOS Information:
  • PECOS PAC ID: 2961496765
  • Enrollment ID: O20040414000049

Medical Identifiers

Medical identifiers for St Louis Medical Clinic, P.c. such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1174505127NPI-NPPES
26D2302743OtherMOCLIA

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
213E00000XPodiatrist (* (Not Available))Secondary
207RG0100XInternal Medicine - Gastroenterology (* (Not Available))Secondary
207RR0500XInternal Medicine - Rheumatology (* (Not Available))Secondary
207RC0000XInternal Medicine - Cardiovascular Disease (* (Not Available))Secondary
207N00000XDermatology (* (Not Available))Secondary
207Q00000XFamily Medicine (* (Not Available))Secondary
207RE0101XInternal Medicine - Endocrinology, Diabetes & Metabolism (* (Not Available))Secondary
207R00000XInternal Medicine (* (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. St Louis Medical Clinic, P.c. acts as a billing entity for following providers:
Provider NameYing Du
Provider TypePractitioner - Rheumatology
Provider IdentifiersNPI Number: 1295725182
PECOS PAC ID: 7012997471
Enrollment ID: I20040726000059
Provider NameSarah Renfert
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1932171600
PECOS PAC ID: 9537181383
Enrollment ID: I20051221000603
Provider NamePhillip L Brick
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1689787459
PECOS PAC ID: 4688681448
Enrollment ID: I20060320000463
Provider NameDamon Payton
Provider TypePractitioner - Podiatry
Provider IdentifiersNPI Number: 1649200502
PECOS PAC ID: 0446286504
Enrollment ID: I20070302000057
Provider NameHashim S Raza
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1891840237
PECOS PAC ID: 5395833842
Enrollment ID: I20071116000040
Provider NameAnthony J Margherita
Provider TypePractitioner - Physical Medicine And Rehabilitation
Provider IdentifiersNPI Number: 1750323028
PECOS PAC ID: 4688737604
Enrollment ID: I20090116000145
Provider NameRichard M Divalerio
Provider TypePractitioner - Rheumatology
Provider IdentifiersNPI Number: 1841298072
PECOS PAC ID: 0345338893
Enrollment ID: I20100113000475
Provider NameBrande Monroe
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1306254867
PECOS PAC ID: 6002118551
Enrollment ID: I20151230001432
Provider NameJulie A Godefroid
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1437524360
PECOS PAC ID: 6608174909
Enrollment ID: I20160420001278
Provider NameHumza Omar Quadri
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1457912255
PECOS PAC ID: 3779818901
Enrollment ID: I20221118001556

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 Clinic, P.c. 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
St Louis Medical Clinic, P.c.
Po Box 778969,
Chicago, IL 60677-0001

Ph: (314) 432-1111		St Louis Medical Clinic, P.c.
3009 N Ballas Rd, Suite 100b,
Saint Louis, MO 63131-2322

Ph: (314) 432-1111

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.