Sarah Mariah Peth Bohnert, MD
Individual provider Active NPI Family Medicine Physician · Fulton, MO
NPI 1245857036 · NPPES record last updated May 11, 2023
Key facts
- NPI
- 1245857036
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Medicine Physician 207Q00000X
- License
- 2023009377 (MO)
- Practice address
- 110 N Hospital Dr
Fulton, MO 65251-2511 - Phone
- (573) 642-5911
- Fax
- (573) 642-3015
- NPI assigned
- Jun 29, 2020
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 9
Hospital & facility affiliations 1
Medicare Care Compare profile
- Specialty
- Family Practice
- Education
- University of Missouri, Columbia School of Medicine, 2020
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Ste Genevieve County Memorial Hospital
Practice addresses (Care Compare)
120 Plaza Dr Plaza Medical Ctr
Ste Genevieve, MO 63670-1828
Phone (573) 883-5717
255 Boderman
Bloomsdale, MO 63627-9099
Phone (573) 483-9492
575 Pine Dr
Ste Genevieve, MO 63670-1446
Phone (573) 883-7424
753 Pointe Basse Dr
Ste Genevieve, MO 63670-1820
Phone (573) 883-2782
Hospital & facility affiliations
- Ste Genevieve County Memorial Hospital
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MO
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20230913002899 | MO | Practitioner - Family Practice | 0446673503 | Reassigns benefits to 5 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2023009377 | MO | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ste Genevieve County Memorial Hospital | Family Medicine | Current |
Accepting new patients |
| Ste Genevieve County Memorial Hospital | Current | Accepting new patients | |
| Ste Genevieve County Memorial Hospital | Current |
Accepting new patients | |
| Ste Genevieve County Memorial Hospital | Current |
Accepting new patients | |
| Ste Genevieve County Memorial Hospital | Current | Accepting new patients | |
| Ste Genevieve County Memorial Hospital | Current |
Accepting new patients |
Locations
255 Boderman
Bloomsdale, MO 63627
Phone (573) 483-2727
800 Ste Genevieve Dr
Ste Genevieve, MO 63670
Phone (573) 883-2571
753 Pointe Basse Dr
Ste Genevieve, MO 63670
Phone (573) 883-2782
575 Pine Dr
Ste Genevieve, MO 63670
Phone (573) 883-7424
590 Pine Dr
Ste Genevieve, MO 63670
Phone (573) 883-4455
120 Plaza Dr
Ste Genevieve, MO 63670
Phone (573) 883-1199
Interoperability endpoints
- sbohnert@mhccaremail.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 2020019023 | MO | |
| Family Medicine Physician | 207Q00000X | 2023009377 | MO | Yes |
Addresses
Primary practice location
110 N Hospital Dr
Fulton, MO 65251-2511
Mailing address
110 N Hospital Dr
Fulton, MO 65251-2511
Phone (573) 642-5911
Other names
- Miss Sarah Mariah Peth
Other providers in Fulton, MO
- Katherine Berrey
- Audra Biermann
- Bigeye Emergency Physicians LLC
- Dawn Marie Blashak
- Board of Education
- Brenda Bolton
- Mary E Books
- Barbara Borde-Koufie
- James Bridges
- Brighter Day Counseling LLC
All providers in Fulton, MO · Family Medicine Physician in Missouri
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 11, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.