Kim Marie Waterhouse, MD - Medicare Allergy/immunology in O Fallon, MO

Kim Marie Waterhouse, MD is a medicare enrolled "Allergy & Immunology - Allergy" physician in O Fallon, Missouri. She went to University Of Missouri, Kansas City, School Of Medicine and graduated in 2006 and has 18 years of diverse experience with area of expertise as Allergy/immunology. She is a member of the group practice Allergy, Asthma And Sinus Care Center, Llc and her current practice location is 1101 Highway K, O Fallon, Missouri. You can reach out to her office (for appointments etc.) via phone at (636) 379-6363.

Kim Marie Waterhouse is licensed to practice in Missouri (license number 2009005694) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1730384322.

Contact Information

Kim Marie Waterhouse, MD
1101 Highway K,
O Fallon, MO 63366-8431
(636) 379-6363
(636) 379-1297



Physician's Profile

Full NameKim Marie Waterhouse
GenderFemale
SpecialityAllergy/immunology
Experience18 Years
Location1101 Highway K, O Fallon, Missouri
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Kim Marie Waterhouse attended and graduated from University Of Missouri, Kansas City, School Of Medicine in 2006
  NPI Data:
  • NPI Number: 1730384322
  • Provider Enumeration Date: 06/15/2007
  • Last Update Date: 11/12/2020
  Medicare PECOS Information:
  • PECOS PAC ID: 4981875408
  • Enrollment ID: I20110913000918

Medical Identifiers

Medical identifiers for Kim Marie Waterhouse such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1730384322NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
208000000XPediatrics 2009005694 (Missouri)Secondary
207KA0200XAllergy & Immunology - Allergy 2009005694 (Missouri)Primary

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Allergy, Asthma And Sinus Care Center, Llc50928175027

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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. Kim Marie Waterhouse allows following entities to bill medicare on her behalf.
Entity NameAllergy, Asthma & Sinus Care Center, Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1417034695
PECOS PAC ID: 5092817502
Enrollment ID: O20070301000043

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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. Kim Marie Waterhouse 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
Kim Marie Waterhouse, MD
Po Box 955534,
Saint Louis, MO 63195-5534

Ph: () -
Kim Marie Waterhouse, MD
1101 Highway K,
O Fallon, MO 63366-8431

Ph: (636) 379-6363

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Allergy & Immunology Doctors in O Fallon, MO

Dr. Rabya R Mian, MD
Allergy & Immunology
Medicare: Accepting Medicare Assignments
Practice Location: 9426 Phoenix Village Pkwy, O Fallon, MO 63368
Phone: 636-561-5707    Fax: 314-851-4489

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