Id Consultants, P.c. - Medicare Primary Care in Festus, MO

Id Consultants, P.c. is a medicare enrolled primary clinic (Internal Medicine - Infectious Disease) in Festus, Missouri. The current practice location for Id Consultants, P.c. is 1400 Us Highway 61 Ste 260, Festus, Missouri. For appointments, you can reach them via phone at (636) 933-2344. The mailing address for Id Consultants, P.c. is 1400 Us Highway 61 Ste 260, Festus, Missouri and phone number is (636) 933-2344.

Id Consultants, P.c. is licensed to practice in Missouri (license number MO106962). The clinic also participates in the medicare program and its NPI number is 1023113438. 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 (636) 933-2344.

Contact Information

Id Consultants, P.c.
1400 Us Highway 61 Ste 260
Festus
MO 63028-4101
(636) 933-2344
(636) 937-9031

Primary Care Clinic Profile

Full NameId Consultants, P.c.
SpecialityInternal Medicine
Location1400 Us Highway 61 Ste 260, Festus, Missouri
Authorized Official Name and PositionChandra B. Dommaraju (PRESIDENT)
Authorized Official Contact6369332344
Accepts Medicare InsuranceYes. This clinic participates in medicare program and accept medicare insurance.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Id Consultants, P.c.
1400 Us Highway 61 Ste 260
Festus
MO 63028-4101

Ph: (636) 933-2344
Id Consultants, P.c.
1400 Us Highway 61 Ste 260
Festus
MO 63028-4101

Ph: (636) 933-2344

NPI Details:

NPI Number1023113438
Provider Enumeration Date09/13/2006
Last Update Date04/26/2021

Medicare PECOS Information:

Medicare PECOS PAC ID6608876024
Medicare Enrollment IDO20070109000582

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Medical Identifiers

Medical identifiers for Id Consultants, P.c. such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1023113438NPI-NPPES
1578866596OtherMONPI

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207RI0200XInternal Medicine - Infectious Disease MO106962 (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. Id Consultants, P.c. acts as a billing entity for following providers:
Provider NameChandra B Dommaraju
Provider TypePractitioner - Infectious Disease
Provider IdentifiersNPI Number: 1255361135
PECOS PAC ID: 7315963741
Enrollment ID: I20051017000191

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