MEDICARE: VOYAGER GROUP, INC

Medicare Provider Information

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

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207LP2900X	Pain Medicine (Anesthesiology) Physician	R5P16	MO
2	208VP0000X	Pain Medicine Physician	R5P16	MO

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	050055140	OTHER	MO	MEDICARE RAILROAD

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
2	491711815	OTHER	MO	1ST HEALTH
3	2000224	OTHER	MO	UHC
4	249776	OTHER	MO	HEALTHLINK
5	35554	OTHER	MO	GHP
6	197791	OTHER	MO	BCBS
7	35554	OTHER	MO	CMR
8	63868010001	OTHER	MO	CIGNA
9	F04439	OTHER	MO	MERCY
10	072246	OTHER	MO	FMH/ EXCLUSIVE CHOICE
11	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
12	197791	OTHER	MO	BLUE CHOICE
13	5339096	OTHER	MO	AETNA
14	2000224	OTHER	MO	PHP

NPI Number	:	1780621789
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	VOYAGER GROUP, INC

Provider Business Mailing Address
First Line	:	4800 MEXICO RD
Second Line	:	SUITE 101
City	:	SAINT PETERS
State	:	MO
Zip	:	63376-1666
Country	:	US
Telephone Number	:	636-936-0400
Fax Number	:	636-936-2252

Provider Business Practice Location Address
First Line	:	4800 MEXICO RD
Second Line	:	SUITE 101
City	:	SAINT PETERS
State	:	MO
Zip	:	63376-1666
Country	:	US
Telephone Number	:	636-936-0400
Fax Number	:	636-936-2252

Authorized Official
Title or Position	:	PHYSICIAN/OWNER
Name	:	DR. JOHN ALAN VELLINGA
Credential	:	D.O.
Telephone Number	:	636-936-0400

Provider Enumeration Date	:	05/31/2006
Last Update Date	:	05/09/2012

4800 MEXICO RD , SUITE 104
SAINT PETERS, MO
63376-1666

Practice Phone: 636-939-9540
Practice Fax: 636-939-9886