Ssm Health Medical Group - Pediatrics - Medicare Primary Care in Jefferson City, MO

Ssm Health Medical Group - Pediatrics is a medicare enrolled primary clinic (Clinic/center) in Jefferson City, Missouri. The current practice location for Ssm Health Medical Group - Pediatrics is 3348 American Ave, Jefferson City, Missouri. For appointments, you can reach them via phone at (573) 761-7210. The mailing address for Ssm Health Medical Group - Pediatrics is Po Box 1027, Jefferson City, Missouri and phone number is (573) 681-3767.

Ssm Health Medical Group - Pediatrics is licensed to practice in * (Not Available) (license number ). The clinic also participates in the medicare program and its NPI number is 1396782587. 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) 761-7210.

Contact Information

Ssm Health Medical Group - Pediatrics
3348 American Ave
Jefferson City
MO 65109-1079
(573) 761-7210
(573) 634-8802

Primary Care Clinic Profile

Full NameSsm Health Medical Group - Pediatrics
SpecialityClinic/Center
Location3348 American Ave, Jefferson City, Missouri
Authorized Official Name and PositionGarrick Elliott Mueller (CFO)
Authorized Official Contact4052807582
Accepts Medicare InsuranceYes. This clinic participates in medicare program and accept medicare insurance.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Ssm Health Medical Group - Pediatrics
Po Box 1027
Jefferson City
MO 65102-1027

Ph: (573) 681-3767
Ssm Health Medical Group - Pediatrics
3348 American Ave
Jefferson City
MO 65109-1079

Ph: (573) 761-7210

NPI Details:

NPI Number1396782587
Provider Enumeration Date05/31/2006
Last Update Date09/15/2020

Medicare PECOS Information:

Medicare PECOS PAC ID8921917352
Medicare Enrollment IDO20040907000920

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Medical Identifiers

Medical identifiers for Ssm Health Medical Group - Pediatrics such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1396782587NPI-NPPES
501283501MedicaidMO

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
261Q00000XClinic/center (* (Not Available))Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Ssm Health Medical Group - Pediatrics acts as a billing entity for following providers:
Provider NameJennifer P Krause
Provider TypePractitioner - Pediatric Medicine
Provider IdentifiersNPI Number: 1255361036
PECOS PAC ID: 5799756334
Enrollment ID: I20040805000539

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Provider NameBrian Conley
Provider TypePractitioner - Pediatric Medicine
Provider IdentifiersNPI Number: 1093746653
PECOS PAC ID: 8820031404
Enrollment ID: I20050606000022

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Provider NameBridgett A Wekenborg
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1912258195
PECOS PAC ID: 0345495479
Enrollment ID: I20130221000254

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Provider NameOlga Brea Pena
Provider TypePractitioner - Pediatric Medicine
Provider IdentifiersNPI Number: 1417333253
PECOS PAC ID: 3173875226
Enrollment ID: I20181017003486

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Provider NameMegan Marie Kruse
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1477274827
PECOS PAC ID: 5890166219
Enrollment ID: I20230123002741

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Clinic/Center in Jefferson City, MO

Spine Midwest, Inc
Primary Care Clinic
Medicare: Not Enrolled in Medicare
Practice Location: 200 Saint Marys Medical Plz, Suite 301, Jefferson City, MO 65101
Phone: 573-634-4212    
Capital Region Corporate Health Clinic
Primary Care Clinic
Medicare: Not Enrolled in Medicare
Practice Location: 1500 Southwest Blvd, Ste C, Jefferson City, MO 65109
Phone: 573-632-5786    Fax: 573-632-5833
Family Medicine Of Jefferson City, Llc
Primary Care Clinic
Medicare: Not Enrolled in Medicare
Practice Location: 1616 Southridge Dr, Suite #203, Jefferson City, MO 65109
Phone: 573-659-7300    Fax: 573-636-0555
Ssm Health Wound Center
Primary Care Clinic
Medicare: Medicare Enrolled
Practice Location: 2505 Mission Dr, Suite 210, Jefferson City, MO 65109
Phone: 573-681-3000    Fax: 573-659-2503
Innovative Medical Clinic
Primary Care Clinic
Medicare: Medicare Enrolled
Practice Location: 3218 W Edgewood Dr, Ste 500, Jefferson City, MO 65109
Phone: 949-696-6157    
Capital Region Physicians - Family Medical Center
Primary Care Clinic
Medicare: Not Enrolled in Medicare
Practice Location: 420 E High St, Jefferson City, MO 65101
Phone: 573-635-0916    Fax: 573-635-8812
Capital Region Physicians - Southwest
Primary Care Clinic
Medicare: Not Enrolled in Medicare
Practice Location: 1500 Southwest Blvd, Ste D, Jefferson City, MO 65109
Phone: 573-632-5780    Fax: 573-632-5833

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