One provider matched this Medicaid ID.
Missouri Medicaid ID 203982012 resolves to a single NPI record. Open the full profile for complete detail.
Secondary identifiers
Additional identifiers this provider has registered with NPPES. Used by medical billers, credentialers, and insurance verifiers to cross-reference claims and enrollments.
Other
- 481375MO· Issued by VALUE OPTIONS
- 15-44745MO· Issued by UNITED HEALTH CARE
- 370760015JONMO· Issued by PREMIERE BENEFITS
- 889413MO· Issued by MERCY CARE PLUS
- 370760015JONMO· Issued by MERCY HEALTH PLAN
- 370760015JONMO· Issued by UNITY HEALTH SERVICES
- 479955MO· Issued by HEALTHLINK
- P1505MO· Issued by PAS
- 127583MO· Issued by ANTHEM BLUE CROSS BLUE SH
- 889413MO· Issued by NOVASYS HEALTH
- 15-44745MO· Issued by UNITED BEHAVIORAL HEALTH
- 260205000MO· Issued by MAGELLAN BEHAVIORAL HEALT
- 481375MO· Issued by MH/SA CLAIMS
- 7769381MO· Issued by AETNA
Source: NPPES public registry.
Medicare enrollment
This provider holds a Medicare enrollment on file with the Provider Enrollment, Chain and Ownership System (PECOS). Each enrollment carries a public Medicare Enrollment ID (ENRLMT_ID) used by billers and intermediaries.
Practitioner
- I20040309000464PsychiatryMO
Source: CMS PECOS public enrollment file.
ReferenceAbout state Medicaid identifiers
State Medicaid programmes assign each enrolled provider a state-scoped identifier used on Medicaid claims. The identifier is reported to the federal NPPES registry alongside the provider's NPI and is mirrored here from the public dissemination file. Each state administers its own Medicaid programme, so the same provider can hold different Medicaid numbers in different states.