Pcmh Clinic - Medicare Primary Care in Louisiana, MO

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Pcmh Clinic is a medicare enrolled primary clinic (Clinic/center - Rural Health) in Louisiana, Missouri. The current practice location for Pcmh Clinic is 2305 Georgia St, Louisiana, Missouri. For appointments, you can reach them via phone at (573) 754-4584. The mailing address for Pcmh Clinic is 2305 Georgia St, Louisiana, Missouri and phone number is (573) 754-4584.

Pcmh Clinic is licensed to practice in * (Not Available) (license number ). The clinic also participates in the medicare program and its NPI number is 1437265311. 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) 754-4584.

Contact Information

Pcmh Clinic
2305 Georgia St
Louisiana
MO 63353-2559
(573) 754-4584
(573) 754-5280

Map and Direction


Primary Care Clinic Profile

Full NamePcmh Clinic
SpecialityClinic/Center
Location2305 Georgia St, Louisiana, Missouri
Authorized Official Name and PositionJustin Selle (CEO)
Authorized Official Contact5737545531
Accepts Medicare InsuranceYes. This clinic participates in medicare program and accept medicare insurance.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Pcmh Clinic
2305 Georgia St
Louisiana
MO 63353-2559

Ph: (573) 754-4584		Pcmh Clinic
2305 Georgia St
Louisiana
MO 63353-2559

Ph: (573) 754-4584

NPI Details:

NPI Number1437265311
Provider Enumeration Date08/22/2006
Last Update Date04/05/2016

Medicare PECOS Information:

Medicare PECOS PAC ID8123015518
Medicare Enrollment IDO20070410000136

Medical Identifiers

Medical identifiers for Pcmh Clinic such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1437265311NPI-NPPES
502663305OtherMOMEDICAID FEE-FOR-SERVICE
598041002MedicaidMO
CK7206OtherMORAILROAD MEDICARE PN

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
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. Pcmh Clinic acts as a billing entity for following providers:
Provider NameAaron M Trone
Provider TypePractitioner - General Practice
Provider IdentifiersNPI Number: 1265403869
PECOS PAC ID: 0446163646
Enrollment ID: I20031112000272
Provider NameRobert Wayne Jackson
Provider TypePractitioner - Rheumatology
Provider IdentifiersNPI Number: 1730293705
PECOS PAC ID: 3476448952
Enrollment ID: I20040216000667
Provider NameMiriam B Borden
Provider TypePractitioner - Rheumatology
Provider IdentifiersNPI Number: 1518966571
PECOS PAC ID: 2961463112
Enrollment ID: I20041021000642
Provider NameHrishikesh P Ghanekar
Provider TypePractitioner - Nephrology
Provider IdentifiersNPI Number: 1629041686
PECOS PAC ID: 1951317031
Enrollment ID: I20061006000046
Provider NameUmar Daud
Provider TypePractitioner - Rheumatology
Provider IdentifiersNPI Number: 1053388942
PECOS PAC ID: 3476576703
Enrollment ID: I20070108000228
Provider NameMichael H Whitlock
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1760490585
PECOS PAC ID: 9133229479
Enrollment ID: I20070716000282
Provider NameMatthew Melander
Provider TypePractitioner - Orthopedic Surgery
Provider IdentifiersNPI Number: 1174561211
PECOS PAC ID: 3274636691
Enrollment ID: I20070724000157
Provider NameDouglas J Freel
Provider TypePractitioner - Podiatry
Provider IdentifiersNPI Number: 1184614653
PECOS PAC ID: 3476633769
Enrollment ID: I20071227000278
Provider NameVivek K Manchanda
Provider TypePractitioner - Anesthesiology
Provider IdentifiersNPI Number: 1083729941
PECOS PAC ID: 6002998069
Enrollment ID: I20080129000697
Provider NameCasey A Jennings
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1033300488
PECOS PAC ID: 2961575295
Enrollment ID: I20080721000302
Provider NameDaniel J Lamothe-jost
Provider TypePractitioner - Rheumatology
Provider IdentifiersNPI Number: 1689676512
PECOS PAC ID: 4385706829
Enrollment ID: I20081217000680
Provider NameLisa K Schriewer Clervi
Provider TypePractitioner - Psychologist Billing Independently
Provider IdentifiersNPI Number: 1952475519
PECOS PAC ID: 0345394532
Enrollment ID: I20090824000136
Provider NameSandra S Hoffmann
Provider TypePractitioner - Rheumatology
Provider IdentifiersNPI Number: 1477565893
PECOS PAC ID: 4981772233
Enrollment ID: I20100817001706
Provider NameHoward Jay Schneider
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1568664308
PECOS PAC ID: 6901965938
Enrollment ID: I20110516000362
Provider NameTracy M Fite
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1578697074
PECOS PAC ID: 9537254891
Enrollment ID: I20111219000017
Provider NameJeffrey Clark Goetz
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1528456043
PECOS PAC ID: 1658699129
Enrollment ID: I20150413001758
Provider NameTarrah Hickerson
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1184955700
PECOS PAC ID: 9830324003
Enrollment ID: I20150925000482
Provider NameHarsha V Polavarapu
Provider TypePractitioner - Colorectal Surgery (proctology)
Provider IdentifiersNPI Number: 1982864476
PECOS PAC ID: 9133368251
Enrollment ID: I20160531001401
Provider NameRachel M Harris
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1225499866
PECOS PAC ID: 2466737481
Enrollment ID: I20180214001417
Provider NameMarlee A Keele
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1013400357
PECOS PAC ID: 5092065029
Enrollment ID: I20180912001149
Provider NameMatthew J Knudson
Provider TypePractitioner - Urology
Provider IdentifiersNPI Number: 1962609768
PECOS PAC ID: 3971749334
Enrollment ID: I20220713001543
Provider NamePaul A Conrad
Provider TypePractitioner - Otolaryngology
Provider IdentifiersNPI Number: 1528028214
PECOS PAC ID: 0648268052
Enrollment ID: I20221018001881
Provider NameIsidoros F Vardaros
Provider TypePractitioner - Hospitalist
Provider IdentifiersNPI Number: 1841509304
PECOS PAC ID: 2860627783
Enrollment ID: I20230309001421

Reviews and Comments


Clinic/Center in Louisiana, MO

Pcmh Clinic
Primary Care Clinic
Medicare: Not Enrolled in Medicare
Practice Location: 2305 Georgia St, Louisiana, MO 63353
Phone: 573-754-4584    Fax: 573-754-5280
Pike Medical Clinic
Primary Care Clinic
Medicare: Medicare Enrolled
Practice Location: 211 S 3rd St, Louisiana, MO 63353
Phone: 573-754-5555    Fax: 573-754-4077
Pike Medical Clinic, Inc
Primary Care Clinic
Medicare: Not Enrolled in Medicare
Practice Location: 211 S 3rd St, Louisiana, MO 63353
Phone: 573-754-5555    Fax: 573-754-4077

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.