Bismarck Medical Providers - Medicare Primary Care in Bismarck, MO

Bismarck Medical Providers is a medicare enrolled primary clinic (Clinic/center - Primary Care) in Bismarck, Missouri. The current practice location for Bismarck Medical Providers is 405 Center St., Suite 1, Bismarck, Missouri. For appointments, you can reach them via phone at (573) 854-2273. The mailing address for Bismarck Medical Providers is 405 Center St., Bismarck, Missouri and phone number is (573) 200-8030.

Bismarck Medical Providers is licensed to practice in * (Not Available) (license number ). The clinic also participates in the medicare program and its NPI number is 1366161945. 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) 854-2273.

Contact Information

Bismarck Medical Providers
405 Center St.
Suite 1
Bismarck
MO 63624
(573) 854-2273
(573) 200-8033

Primary Care Clinic Profile

Full NameBismarck Medical Providers
SpecialityClinic/Center
Location405 Center St., Bismarck, Missouri
Authorized Official Name and PositionKimberly I Weiss (PROVIDER)
Authorized Official Contact5732008030
Accepts Medicare InsuranceYes. This clinic participates in medicare program and accept medicare insurance.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Bismarck Medical Providers
405 Center St.
Bismarck
MO 63624

Ph: (573) 200-8030
Bismarck Medical Providers
405 Center St.
Suite 1
Bismarck
MO 63624

Ph: (573) 854-2273

NPI Details:

NPI Number1366161945
Provider Enumeration Date08/25/2022
Last Update Date01/04/2024

Medicare PECOS Information:

Medicare PECOS PAC ID0547645434
Medicare Enrollment IDO20220913001863

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Medical Identifiers

Medical identifiers for Bismarck Medical Providers such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1366161945NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
261Q00000XClinic/center (* (Not Available))Secondary
261QC1800XClinic/center - Corporate Health (* (Not Available))Secondary
261QF0050XClinic/center - Family Planning, Non-surgical (* (Not Available))Secondary
261QM0850XClinic/center - Adult Mental Health (* (Not Available))Secondary
261QM0855XClinic/center - Adolescent And Children Mental Health (* (Not Available))Secondary
261QP2300XClinic/center - Primary Care (* (Not Available))Primary
261QR1300XClinic/center - Rural Health (* (Not Available))Secondary
261QX0100XClinic/center - Occupational Medicine (* (Not Available))Secondary
313M00000XNursing Facility/intermediate Care Facility (* (Not Available))Secondary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Bismarck Medical Providers acts as a billing entity for following providers:
Provider NameKimberly Irene Weiss
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1073268488
PECOS PAC ID: 0941687081
Enrollment ID: I20220511001862

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Clinic/Center in Bismarck, MO


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