MEDICARE: DR. RACHAEL A MERGENMEIER D.O.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207Q00000X	Family Medicine Physician	34007396	OH
2	207Q00000X	Family Medicine Physician	2008011538	MO

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	080174665	OTHER	OH	MEDICARE RAILROAD

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1518957265
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. RACHAEL A MERGENMEIER D.O.

Provider Business Mailing Address
First Line	:	PO BOX 776084
Second Line	:
City	:	CHICAGO
State	:	IL
Zip	:	60677-6084
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	107 PIPER HILL DR
Second Line	:
City	:	SAINT PETERS
State	:	MO
Zip	:	63376-1651
Country	:	US
Telephone Number	:	636-939-3648
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	10/25/2005
Last Update Date	:	08/11/2025

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Directions to “ DR. RACHAEL A MERGENMEIER D.O.” Practice Location

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