St. Louis Center For Preventive And Longevity Medicine, Llc - Medicare Primary Care in Saint Louis, MO

St. Louis Center For Preventive And Longevity Medicine, Llc is a medicare enrolled primary clinic (Internal Medicine) in Saint Louis, Missouri. The current practice location for St. Louis Center For Preventive And Longevity Medicine, Llc is 777 S New Ballas Rd, Suite 200 E, Saint Louis, Missouri. For appointments, you can reach them via phone at (314) 994-1536. The mailing address for St. Louis Center For Preventive And Longevity Medicine, Llc is 777 S New Ballas Rd, Suite 200 E, Saint Louis, Missouri and phone number is (314) 994-1536.

St. Louis Center For Preventive And Longevity Medicine, Llc is licensed to practice in Missouri (license number 102881). The clinic also participates in the medicare program and its NPI number is 1003027988. 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 (314) 994-1536.

Contact Information

St. Louis Center For Preventive And Longevity Medicine, Llc
777 S New Ballas Rd
Suite 200 E
Saint Louis
MO 63141-8705
(314) 994-1536
(314) 692-0241

Primary Care Clinic Profile

Full NameSt. Louis Center For Preventive And Longevity Medicine, Llc
SpecialityInternal Medicine
Location777 S New Ballas Rd, Saint Louis, Missouri
Authorized Official Name and PositionRichard Allan Bligh (MEDICAL DIRECTOR)
Authorized Official Contact3149941536
Accepts Medicare InsuranceYes. This clinic participates in medicare program and accept medicare insurance.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
St. Louis Center For Preventive And Longevity Medicine, Llc
777 S New Ballas Rd
Suite 200 E
Saint Louis
MO 63141-8705

Ph: (314) 994-1536
St. Louis Center For Preventive And Longevity Medicine, Llc
777 S New Ballas Rd
Suite 200 E
Saint Louis
MO 63141-8705

Ph: (314) 994-1536

NPI Details:

NPI Number1003027988
Provider Enumeration Date05/24/2007
Last Update Date12/27/2007

Medicare PECOS Information:

Medicare PECOS PAC ID7618058868
Medicare Enrollment IDO20080115000059

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Medical Identifiers

Medical identifiers for St. Louis Center For Preventive And Longevity Medicine, Llc such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1003027988NPI-NPPES
1306813050OtherMOINDIVIDUAL NPI NUMBER

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207R00000XInternal Medicine 102881 (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. St. Louis Center For Preventive And Longevity Medicine, Llc acts as a billing entity for following providers:
Provider NameRichard A Bligh
Provider TypePractitioner - Emergency Medicine
Provider IdentifiersNPI Number: 1306813050
PECOS PAC ID: 4981785136
Enrollment ID: I20080115000054

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