Frontier Integrated Health Center Inc - Medicare in O Fallon, MO

Frontier Integrated Health Center Inc is a medicare enrolled "Clinic/center" provider in O Fallon, Missouri. Their current practice location is 199 Frontier Park Dr, O Fallon, Missouri. You can reach out to their office (for appointments etc.) via phone at (636) 379-5934.

Frontier Integrated Health Center Inc is licensed to practice in Missouri (license number 112431) and it also participates in the medicare program. Frontier Integrated Health Center Inc 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 1114120649.

Contact Information

Frontier Integrated Health Center Inc
199 Frontier Park Dr,
O Fallon, MO 63366-3963
(636) 379-5934
(636) 410-3323



Healthcare Provider's Profile

Full NameFrontier Integrated Health Center Inc
TypeFacility
SpecialityClinic/center
Location199 Frontier Park Dr, O Fallon, Missouri
Accepts Medicare AssignmentsMedicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1114120649
  • Provider Enumeration Date: 06/11/2007
  • Last Update Date: 02/24/2022
  Medicare PECOS Information:
  • PECOS PAC ID: 6204814304
  • Enrollment ID: O20040713001148

Medical Identifiers

Medical identifiers for Frontier Integrated Health Center Inc such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1114120649NPI-NPPES
160876OtherMOBLUECROSS
2576722OtherMOUNITED HEALTHCARE
375245OtherMOHEALTHLINK

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
111N00000XChiropractor (* (Not Available))Secondary
207Q00000XFamily Medicine (* (Not Available))Secondary
261Q00000XClinic/center 112431 (Missouri)Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Frontier Integrated Health Center Inc acts as a billing entity for following providers:
Provider NameDavid J Hadden
Provider TypePractitioner - Chiropractic
Provider IdentifiersNPI Number: 1184796732
PECOS PAC ID: 3476636721
Enrollment ID: I20080211000438

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Provider NameRaymond Ottomeyer
Provider TypePractitioner - Chiropractic
Provider IdentifiersNPI Number: 1134235799
PECOS PAC ID: 5698782100
Enrollment ID: I20100819000064

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Provider NameAndrew S Rackovan
Provider TypePractitioner - Chiropractic
Provider IdentifiersNPI Number: 1003239989
PECOS PAC ID: 9931330271
Enrollment ID: I20140328002225

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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. Frontier Integrated Health Center Inc 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
Frontier Integrated Health Center Inc
199 Frontier Park Dr,
O Fallon, MO 63366-3963

Ph: (636) 379-5934
Frontier Integrated Health Center Inc
199 Frontier Park Dr,
O Fallon, MO 63366-3963

Ph: (636) 379-5934

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