Keith Wickenhauser, MD - Medicare Internal Medicine in Saint Peters, MO

Keith Wickenhauser, MD is a medicare enrolled "Internal Medicine" physician in Saint Peters, Missouri. He went to Saint Louis University School Of Medicine and graduated in 2014 and has 10 years of diverse experience with area of expertise as Internal Medicine. He is a member of the group practice Ssm Select Rehab St Louis Llc, Boonslick Medical Group Inc and his current practice location is 201 Bjc Saint Peters Dr Ste 100, Saint Peters, Missouri. You can reach out to his office (for appointments etc.) via phone at (636) 916-8200.

Keith Wickenhauser is licensed to practice in Missouri (license number 2018011071) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1184042855.

Contact Information

Keith Wickenhauser, MD
201 Bjc Saint Peters Dr Ste 100,
Saint Peters, MO 63376
(636) 916-8200
(636) 946-5774



Physician's Profile

Full NameKeith Wickenhauser
GenderMale
SpecialityInternal Medicine
Experience10 Years
Location201 Bjc Saint Peters Dr Ste 100, Saint Peters, Missouri
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Keith Wickenhauser attended and graduated from Saint Louis University School Of Medicine in 2014
  NPI Data:
  • NPI Number: 1184042855
  • Provider Enumeration Date: 03/31/2014
  • Last Update Date: 07/22/2019
  Medicare PECOS Information:
  • PECOS PAC ID: 1355657065
  • Enrollment ID: I20180718000317

Medical Identifiers

Medical identifiers for Keith Wickenhauser such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1184042855NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207R00000XInternal Medicine R3656 (Kentucky)Secondary
390200000XStudent In An Organized Health Care Education/training Program (* (Not Available))Secondary
207R00000XInternal Medicine 2018011071 (Missouri)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Premiere Home HealthSaint charles, MOHome health agency
Ssm Health At Home Home Health-st LouisSaint louis, MOHome health agency
Aw Health CareSaint louis, MOHome health agency
Nurses & Company Hospice CareSaint peters, MOHospice
Vitas Healthcare Corporation MidwestSaint louis, MOHospice
Bjc HospiceSaint louis, MOHospice
Barnes-jewish St Peters HospitalSaint peters, MOHospital
Christian Hospital NortheastSaint louis, MOHospital
Ssm St Joseph Health CenterSaint charles, MOHospital
Progress West HospitalO fallon, MOHospital
Ssm St Joseph Hospital WestLake saint louis, MOHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Ssm Select Rehab St Louis Llc2567510449130
Boonslick Medical Group Inc37794815108

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Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Keith Wickenhauser allows following entities to bill medicare on his behalf.
Entity NameBoonslick Medical Group Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1588662803
PECOS PAC ID: 3779481510
Enrollment ID: O20040727000319

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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. Keith Wickenhauser 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
Keith Wickenhauser, MD
201 Bjc Saint Peters Dr Ste 100,
Saint Peters, MO 63376-3386

Ph: (636) 916-8200
Keith Wickenhauser, MD
201 Bjc Saint Peters Dr Ste 100,
Saint Peters, MO 63376

Ph: (636) 916-8200

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Internal Medicine Doctors in Saint Peters, MO

Furqan F Raja, MD
Internal Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 70 Jungermann Circle, Suite 405, Saint Peters, MO 63376
Phone: 636-720-0310    Fax: 636-720-0311
Dr. Pierre Moeser, M.D.
Internal Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 70 Jungermann Cir, Ste 300, Saint Peters, MO 63376
Phone: 636-916-9020    Fax: 636-916-9021
Dr. Ron Javdan, M.D.
Internal Medicine
Medicare: May Accept Medicare Assignments
Practice Location: 6 Jungermann Cir, Suite 203, Saint Peters, MO 63376
Phone: 636-928-1822    Fax: 636-441-7033
Dr. Lawrence Osei, MD
Internal Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 10 Hospital Dr, Dept Anesthesiology, Saint Peters, MO 63376
Phone: 800-862-9980    Fax: 314-362-1185
Dr. Anna Roshal, MD
Internal Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 150 Entrance Way, Saint Peters, MO 63376
Phone: 636-916-9920    Fax: 636-916-9176
Dr. Sandeep Hindupur, M.D.
Internal Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 10 Hospital Dr Ste 100, Saint Peters, MO 63376
Phone: 636-916-7272    
April Thebeau, DO
Internal Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 10 Hospital Dr, Saint Peters, MO 63376
Phone: 314-317-0600    Fax: 314-317-0606

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