Interventional Pain Management Services LLC
A Medicare group practice based in Florissant, MO: 2 NPIs enrolled under one PECOS associate control ID (PAC ID 3779532858), with 6 clinicians.
Medicare enrollment
Medicare enrollment files- PAC ID
- 3779532858
- Provider type
- DME Supplier - Physician - Interventional Pain Management, Part B Supplier - Clinic/Group Practice
- Enrolled in
- IL, MO
- Enrollments
- 3
- Group size
- 4 clinicians
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Practice locations
- 4
Enrollment records 3
| Enrollment ID | State | Provider type | NPI |
|---|---|---|---|
| O20050114000760 | IL | Part B Supplier - Clinic/Group Practice | 1710018247 |
| O20050228000154 | MO | Part B Supplier - Clinic/Group Practice | 1710018247 |
| O20190201001426 | MO | DME Supplier - Physician - Interventional Pain Management | 1245667914 |
NPIs in this group 2
NPPES NPI RegistryThese NPI records belong to the same enrolled organization. Each has its own page.
-
Interventional Pain Management Services LLC
- Durable Medical Equipment & Medical Supplies
- Florissant, MO
- NPI 1245667914
-
Interventional Pain Management Services LLC
- Interventional Pain Medicine Physician
- Florissant, MO
- NPI 1710018247
Practice locations
- Florissant, MO2
- Granite City, IL1
- Saint Peters, MO1
Clinicians 6
Clinicians who reassign their Medicare benefits to this group (6) or whom Care Compare lists as members (4).
-
Donna Baudendistel
- Nurse Practitioner
- Saint Louis, MO
- NPI 1417904624
-
Anne Marie Bridegroom, PA
- Medical Physician Assistant
- Florissant, MO
- NPI 1811262694
-
Kiranpal Gill, PA-C
- Physician Assistant
- Cypress, TX
- NPI 1053599852
-
Mahendra Gunapooti, MD
- Interventional Pain Medicine Physician
- Florissant, MO
- NPI 1114034931
-
Jason Murray Hohman, MSN, APRN, FNP
- Family Nurse Practitioner
- Florissant, MO
- NPI 1093409880
-
Priya Patel, RN, BSN, FNP
- Family Nurse Practitioner
- Florissant, MO
- NPI 1073966230
Sources for this page
- Medicare Fee-For-Service Public Provider Enrollment: the enrollments, PAC ID, practice locations and benefit reassignments.
- Care Compare Doctors and Clinicians: group membership, group size and the name CMS shows patients.
- NPPES NPI Registry: the names and addresses of the NPIs above.