Ste Genevieve County Memorial Hospital - Medicare Primary Care in Bloomsdale, MO

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Ste Genevieve County Memorial Hospital is a medicare enrolled primary clinic (Clinic/center - Rural Health) in Bloomsdale, Missouri. The current practice location for Ste Genevieve County Memorial Hospital is 255 Boderman, Bloomsdale, Missouri. For appointments, you can reach them via phone at (573) 483-9492. The mailing address for Ste Genevieve County Memorial Hospital is Po Box 366, Ste Genevieve, Missouri and phone number is (573) 883-4477.

Ste Genevieve County Memorial Hospital is licensed to practice in * (Not Available) (license number ). The clinic also participates in the medicare program and its NPI number is 1184658387. 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) 483-9492.

Contact Information

Ste Genevieve County Memorial Hospital
255 Boderman
Bloomsdale
MO 63627-9099
(573) 483-9492
Not Available

Map and Direction


Primary Care Clinic Profile

Full NameSte Genevieve County Memorial Hospital
SpecialityClinic/Center
Location255 Boderman, Bloomsdale, Missouri
Authorized Official Name and PositionAmanda Wolk (BUSINESS OFFICE DIRECTOR)
Authorized Official Contact5738837703
Accepts Medicare InsuranceYes. This clinic participates in medicare program and accept medicare insurance.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Ste Genevieve County Memorial Hospital
Po Box 366
Ste Genevieve
MO 63670-0366

Ph: (573) 883-4477		Ste Genevieve County Memorial Hospital
255 Boderman
Bloomsdale
MO 63627-9099

Ph: (573) 483-9492

NPI Details:

NPI Number1184658387
Provider Enumeration Date07/11/2006
Last Update Date01/13/2023

Medicare PECOS Information:

Medicare PECOS PAC ID3274432802
Medicare Enrollment IDO20040102000645

Medical Identifiers

Medical identifiers for Ste Genevieve County Memorial Hospital such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1184658387NPI-NPPES
CC8331OtherMORAILROAD MEDICARE

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207Q00000XFamily Medicine (* (Not Available))Secondary
261QR1300XClinic/center - Rural Health (* (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. Ste Genevieve County Memorial Hospital acts as a billing entity for following providers:
Provider NameKevin T Enger
Provider TypePractitioner - Urology
Provider IdentifiersNPI Number: 1376607564
PECOS PAC ID: 3971401688
Enrollment ID: I20031219000342
Provider NameXiaohui Fan
Provider TypePractitioner - Pain Management
Provider IdentifiersNPI Number: 1245276252
PECOS PAC ID: 8224936463
Enrollment ID: I20031223000848
Provider NameDale Kraenzle
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1437200649
PECOS PAC ID: 3779470901
Enrollment ID: I20040302001330
Provider NameDan H Frissell
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1407829849
PECOS PAC ID: 8022093780
Enrollment ID: I20040618000828
Provider NameSrinivasan Raghavan
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1265444608
PECOS PAC ID: 5799760450
Enrollment ID: I20040618000865
Provider NameGary R Goldstein
Provider TypePractitioner - Pulmonary Disease
Provider IdentifiersNPI Number: 1952392110
PECOS PAC ID: 6901870815
Enrollment ID: I20040825000470
Provider NameJonathon Mark Bird
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1568457463
PECOS PAC ID: 0840265351
Enrollment ID: I20040828000145
Provider NameJoseph W Sharlow
Provider TypePractitioner - General Surgery
Provider IdentifiersNPI Number: 1861466195
PECOS PAC ID: 3678479862
Enrollment ID: I20040921000230
Provider NameTony Lam
Provider TypePractitioner - Obstetrics/gynecology
Provider IdentifiersNPI Number: 1093742314
PECOS PAC ID: 4284603176
Enrollment ID: I20040928000486
Provider NameNaman A Ghazal Albar
Provider TypePractitioner - Endocrinology
Provider IdentifiersNPI Number: 1639144785
PECOS PAC ID: 7113970559
Enrollment ID: I20050225000549
Provider NameMatthew S Bosner
Provider TypePractitioner - Cardiovascular Disease (cardiology)
Provider IdentifiersNPI Number: 1922088749
PECOS PAC ID: 8325082225
Enrollment ID: I20050613000213
Provider NameGail L Craft
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1043361264
PECOS PAC ID: 0749217032
Enrollment ID: I20050719000339
Provider NameAtif Shafqat
Provider TypePractitioner - Hematology/oncology
Provider IdentifiersNPI Number: 1700991577
PECOS PAC ID: 9234169590
Enrollment ID: I20050816000861
Provider NameBrian L Martin
Provider TypePractitioner - Podiatry
Provider IdentifiersNPI Number: 1336105873
PECOS PAC ID: 4789615238
Enrollment ID: I20050825000065
Provider NameHolly A Huelskamp
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1336229202
PECOS PAC ID: 7911922216
Enrollment ID: I20051005001202
Provider NameKenneth D Smith
Provider TypePractitioner - Diagnostic Radiology
Provider IdentifiersNPI Number: 1316958531
PECOS PAC ID: 6103833512
Enrollment ID: I20061220000281
Provider NameSusan M Odonnell
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1720051162
PECOS PAC ID: 3678675170
Enrollment ID: I20070302000014
Provider NameCasey L Stahlheber
Provider TypePractitioner - Pulmonary Disease
Provider IdentifiersNPI Number: 1497950265
PECOS PAC ID: 4486754900
Enrollment ID: I20070713000117
Provider NameChristine Geile
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1245205236
PECOS PAC ID: 9830001858
Enrollment ID: I20081016000335
Provider NameJoann Uding
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1518089564
PECOS PAC ID: 6002974979
Enrollment ID: I20081021000631
Provider NameBriccio S Cadiz
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1932182722
PECOS PAC ID: 2264598648
Enrollment ID: I20090310000449
Provider NameMary A Mccullough
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1396896510
PECOS PAC ID: 5092866434
Enrollment ID: I20090625000365
Provider NameNiranjana Raju
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1700859394
PECOS PAC ID: 3476693029
Enrollment ID: I20091214000042
Provider NameTheresa A Cavins
Provider TypePractitioner - General Surgery
Provider IdentifiersNPI Number: 1710974019
PECOS PAC ID: 8123155256
Enrollment ID: I20100422000141
Provider NameShamim Amini
Provider TypePractitioner - Emergency Medicine
Provider IdentifiersNPI Number: 1265486617
PECOS PAC ID: 3779586177
Enrollment ID: I20100605000176
Provider NameJennifer H Smith
Provider TypePractitioner - Obstetrics/gynecology
Provider IdentifiersNPI Number: 1134237498
PECOS PAC ID: 0840322707
Enrollment ID: I20100713000611
Provider NameDavid L Weinstein
Provider TypePractitioner - Obstetrics/gynecology
Provider IdentifiersNPI Number: 1043328305
PECOS PAC ID: 8022140987
Enrollment ID: I20100713000625
Provider NameAlan P Lyss
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1013920651
PECOS PAC ID: 7416089081
Enrollment ID: I20100716000503
Provider NameSolomon Noguera
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1275516858
PECOS PAC ID: 2365424397
Enrollment ID: I20100729000596
Provider NameMichael Jeffrey Barkoviak
Provider TypePractitioner - Pulmonary Disease
Provider IdentifiersNPI Number: 1609867142
PECOS PAC ID: 4486620325
Enrollment ID: I20100823000439
Provider NameMary E Crecelius
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1841272861
PECOS PAC ID: 6406036508
Enrollment ID: I20110207000742
Provider NamePhillip L Kintner
Provider TypePractitioner - Obstetrics/gynecology
Provider IdentifiersNPI Number: 1578559084
PECOS PAC ID: 2365341278
Enrollment ID: I20110621000692
Provider NameKelly A Donze
Provider TypePractitioner - Certified Nurse Midwife (cnm)
Provider IdentifiersNPI Number: 1154636579
PECOS PAC ID: 4587833165
Enrollment ID: I20110816000838
Provider NameChad Ronholm
Provider TypePractitioner - Rheumatology
Provider IdentifiersNPI Number: 1306027909
PECOS PAC ID: 3678739307
Enrollment ID: I20120725000481
Provider NameKimberly L Browne
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1710239496
PECOS PAC ID: 7618120684
Enrollment ID: I20121227000369
Provider NameRacheal Lynn Whitaker
Provider TypePractitioner - Obstetrics/gynecology
Provider IdentifiersNPI Number: 1316960529
PECOS PAC ID: 4385649839
Enrollment ID: I20131209000102
Provider NameRobin D Goff
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1639507957
PECOS PAC ID: 5597993105
Enrollment ID: I20140106000036
Provider NameAngela M Ware
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1629301270
PECOS PAC ID: 2860620267
Enrollment ID: I20140110000054
Provider NameLacey E Sullivan
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1174951503
PECOS PAC ID: 5395973697
Enrollment ID: I20140113001307
Provider NameKelly A Donze
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1154636579
PECOS PAC ID: 4587833165
Enrollment ID: I20140113001719
Provider NameRegine E Politte
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1063813046
PECOS PAC ID: 2466673223
Enrollment ID: I20141020001092
Provider NameAnne K Wolk
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1639562028
PECOS PAC ID: 8820318785
Enrollment ID: I20150518001731
Provider NameJuliana C Verticchio
Provider TypePractitioner - Obstetrics/gynecology
Provider IdentifiersNPI Number: 1285999508
PECOS PAC ID: 1951530484
Enrollment ID: I20150716002867
Provider NameKelli M Brockman
Provider TypePractitioner - Pediatric Medicine
Provider IdentifiersNPI Number: 1477818599
PECOS PAC ID: 4981918299
Enrollment ID: I20150730013107
Provider NameJulia G Hoffman
Provider TypePractitioner - Obstetrics/gynecology
Provider IdentifiersNPI Number: 1477585669
PECOS PAC ID: 3274679816
Enrollment ID: I20160830002198
Provider NameBridgette L Baer
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1780791459
PECOS PAC ID: 4789963687
Enrollment ID: I20161117000513
Provider NameMelissa A Naeger
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1538616362
PECOS PAC ID: 0042590424
Enrollment ID: I20161130001108
Provider NameZaki H Chowdhury
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1366456022
PECOS PAC ID: 1456345669
Enrollment ID: I20161216000111
Provider NameCasey E Koller
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1699167692
PECOS PAC ID: 7810264652
Enrollment ID: I20170525002028
Provider NameElizabeth Wolk
Provider TypePractitioner - Occupational Therapist In Private Practice
Provider IdentifiersNPI Number: 1861884744
PECOS PAC ID: 8123395977
Enrollment ID: I20170525002304
Provider NameChristina Marie Peters
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1851767149
PECOS PAC ID: 5294042925
Enrollment ID: I20170815002537
Provider NameJohn Westley Pipkin
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1346797305
PECOS PAC ID: 2163795097
Enrollment ID: I20170829000901
Provider NameBritney D Tarrillion
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1568987337
PECOS PAC ID: 8921371170
Enrollment ID: I20170908003148
Provider NameDeborah A Raney
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1851810444
PECOS PAC ID: 0648545889
Enrollment ID: I20171013001619
Provider NameLisa Engle
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1437668969
PECOS PAC ID: 2567738081
Enrollment ID: I20171026003395
Provider NameJacqueline M Wolk
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1144730615
PECOS PAC ID: 4688930092
Enrollment ID: I20171116003012
Provider NameJessica M Levin
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1952898348
PECOS PAC ID: 0446514871
Enrollment ID: I20180510000804
Provider NameErika Leung
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1326453721
PECOS PAC ID: 0345542106
Enrollment ID: I20180710003037
Provider NameElena May-plaza
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1730686700
PECOS PAC ID: 4284978453
Enrollment ID: I20181129002129
Provider NameCristella Torres
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1609243013
PECOS PAC ID: 5193061117
Enrollment ID: I20190112000284
Provider NameElle L Grither
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1730743881
PECOS PAC ID: 0446682082
Enrollment ID: I20191119002979
Provider NameEnriqueta A Hill
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1982881009
PECOS PAC ID: 7618305830
Enrollment ID: I20200320001600
Provider NameMatthew Stein
Provider TypePractitioner - Hematology/oncology
Provider IdentifiersNPI Number: 1639589104
PECOS PAC ID: 6002230018
Enrollment ID: I20200723002096
Provider NameKelly R Grein
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1407455421
PECOS PAC ID: 2860803467
Enrollment ID: I20201203001991
Provider NameThomas M Castilaw
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1588147623
PECOS PAC ID: 3476884446
Enrollment ID: I20210201002062
Provider NameCrista J Merriman
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1548836190
PECOS PAC ID: 5890198030
Enrollment ID: I20210726000686
Provider NameMorgan Ritter
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1316529951
PECOS PAC ID: 7517362320
Enrollment ID: I20210817002353
Provider NameRobert D Bohnert
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1174293559
PECOS PAC ID: 3870984958
Enrollment ID: I20211228001105
Provider NameAswin R Kansakar
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1467975573
PECOS PAC ID: 8022439660
Enrollment ID: I20220502000427
Provider NameTiarra D Waller
Provider TypePractitioner - Occupational Therapist In Private Practice
Provider IdentifiersNPI Number: 1295472884
PECOS PAC ID: 8628456340
Enrollment ID: I20220608000170
Provider NameMaryam Baikpour
Provider TypePractitioner - Obstetrics/gynecology
Provider IdentifiersNPI Number: 1023512720
PECOS PAC ID: 3870972532
Enrollment ID: I20220627001767
Provider NameElizabeth M Ley
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1699416610
PECOS PAC ID: 9537549936
Enrollment ID: I20220701000539
Provider NameCherie M Haug
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1629305289
PECOS PAC ID: 7113308115
Enrollment ID: I20220722000374
Provider NameKatie Odom
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1194462010
PECOS PAC ID: 1658753124
Enrollment ID: I20220729002687
Provider NameHannah E Kertz
Provider TypePractitioner - Obstetrics/gynecology
Provider IdentifiersNPI Number: 1043716830
PECOS PAC ID: 8123373255
Enrollment ID: I20220927003684
Provider NameDeniane John
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1881256014
PECOS PAC ID: 4981933439
Enrollment ID: I20220929000876
Provider NameStephanie R Moll
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1588374698
PECOS PAC ID: 1658744313
Enrollment ID: I20230227002949
Provider NameAllison Louise Kell
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1184160772
PECOS PAC ID: 5496120941
Enrollment ID: I20230414000404
Provider NamePreston Thomas Holifield
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1982397436
PECOS PAC ID: 7517326192
Enrollment ID: I20230629001269
Provider NameAbigail Fischer
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1861146557
PECOS PAC ID: 1052772563
Enrollment ID: I20230801000749
Provider NameSarah Mariah Peth Bohnert
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1245857036
PECOS PAC ID: 0446673503
Enrollment ID: I20230913002899
Provider NameValerie Besand
Provider TypePractitioner - Qualified Speech Language Pathologist
Provider IdentifiersNPI Number: 1609206085
PECOS PAC ID: 3678007853
Enrollment ID: I20241111002042
Provider NameAlivia Bauman
Provider TypePractitioner - Qualified Speech Language Pathologist
Provider IdentifiersNPI Number: 1891570230
PECOS PAC ID: 5698201606
Enrollment ID: I20241212003963
Provider NameAshley Regelsperger
Provider TypePractitioner - Qualified Speech Language Pathologist
Provider IdentifiersNPI Number: 1912548710
PECOS PAC ID: 6103354147
Enrollment ID: I20250103002862
Provider NameRachel Bachmann
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1669278040
PECOS PAC ID: 2466976360
Enrollment ID: I20250414000478

Reviews and Comments


Clinic/Center in Bloomsdale, MO

Ste. Genevieve County Memorial Hospital
Primary Care Clinic
Medicare: Not Enrolled in Medicare
Practice Location: 255 Boderman, Suite 2a, Bloomsdale, MO 63670
Phone: 573-883-4473    Fax: 573-883-4472

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.