Primary Care Of Bonne Terre - Medicare Primary Care in Bonne Terre, MO

Primary Care Of Bonne Terre is a medicare enrolled primary clinic (General Practice) in Bonne Terre, Missouri. The current practice location for Primary Care Of Bonne Terre is 527 Benham St, Bonne Terre, Missouri. For appointments, you can reach them via phone at (573) 358-9119. The mailing address for Primary Care Of Bonne Terre is 527 Benham St, Bonne Terre, Missouri and phone number is (573) 358-9119.

Primary Care Of Bonne Terre is licensed to practice in * (Not Available) (license number ). The clinic also participates in the medicare program and its NPI number is 1962883751. 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) 358-9119.

Contact Information

Primary Care Of Bonne Terre
527 Benham St
Bonne Terre
MO 63628-1205
(573) 358-9119
(573) 358-9489

Primary Care Clinic Profile

Full NamePrimary Care Of Bonne Terre
SpecialityGeneral Practice
Location527 Benham St, Bonne Terre, Missouri
Authorized Official Name and PositionAndrew J Ninichuck (OWNER)
Authorized Official Contact5733589119
Accepts Medicare InsuranceYes. This clinic participates in medicare program and accept medicare insurance.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Primary Care Of Bonne Terre
527 Benham St
Bonne Terre
MO 63628-1205

Ph: (573) 358-9119
Primary Care Of Bonne Terre
527 Benham St
Bonne Terre
MO 63628-1205

Ph: (573) 358-9119

NPI Details:

NPI Number1962883751
Provider Enumeration Date06/17/2015
Last Update Date11/23/2015

Medicare PECOS Information:

Medicare PECOS PAC ID4183925415
Medicare Enrollment IDO20151210001830

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› Verified 3 days ago

Medical Identifiers

Medical identifiers for Primary Care Of Bonne Terre such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1962883751NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
208D00000XGeneral Practice (* (Not Available))Primary
261QP2300XClinic/center - Primary Care (* (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. Primary Care Of Bonne Terre acts as a billing entity for following providers:
Provider NameConstance Young
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1891767125
PECOS PAC ID: 9537168539
Enrollment ID: I20061219000585

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Provider NameAndrew Ninichuck
Provider TypePractitioner - General Practice
Provider IdentifiersNPI Number: 1609841956
PECOS PAC ID: 0749354249
Enrollment ID: I20080731000726

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› Verified 3 days ago


General Practice in Bonne Terre, MO

Bonne Terre Health Clinic Llc
Primary Care Clinic
Medicare: Not Enrolled in Medicare
Practice Location: 55 Nesbit Dr, Bonne Terre, MO 63628
Phone: 573-358-3343    Fax: 573-358-5458
Bonne Terre Medical Associates, P.c.
Primary Care Clinic
Medicare: Not Enrolled in Medicare
Practice Location: 30 N Allen St, Bonne Terre, MO 63628
Phone: 573-358-3343    
Bonne Terre Primary Care
Primary Care Clinic
Medicare: Not Enrolled in Medicare
Practice Location: 55 Nesbit Dr, Bonne Terre, MO 63628
Phone: 573-358-1480    Fax: 573-358-1489

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