MEDICARE: PCS MSO, LLC

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	2084P0800X	Psychiatry Physician

General Provider Information

NPI Number	:	1932057189
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	PCS MSO, LLC

Provider Business Mailing Address
First Line	:	2900 FRANK SCOTT PKWY W STE 990
Second Line	:
City	:	BELLEVILLE
State	:	IL
Zip	:	62223-5000
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	2900 FRANK SCOTT PKWY W STE 990
Second Line	:
City	:	BELLEVILLE
State	:	IL
Zip	:	62223-5000
Country	:	US
Telephone Number	:	618-236-6501
Fax Number	:

Authorized Official
Title or Position	:	PRESIDENT
Name	:	RYAN MORRIS
Credential	:
Telephone Number	:	217-242-7718

Provider Enumeration Date	:	03/20/2026
Last Update Date	:	03/20/2026

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