MEDICARE: SUPPLEMENTAL MEDICAL SERVICES

Medicare Provider Information

Scope of Practice

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

#	Taxonomy Code	Taxonomy
1	171M00000X	Case Manager/Care Coordinator
2	251E00000X	Home Health Agency
3	376J00000X	Homemaker
4	385H00000X	Respite Care

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	855168407	OTHER	MO	DEPARTMENT MENTAL HEALTH
2	942269101	OTHER	MO	PRIVATE DUTY NURSING MO
3	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
4	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
5	44281	OTHER	MO	HEALTH CARE USA

General Provider Information

NPI Number	:	1952392359
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	SUPPLEMENTAL MEDICAL SERVICES

Provider Business Mailing Address
First Line	:	10916 SCHUETZ RD
Second Line	:
City	:	SAINT LOUIS
State	:	MO
Zip	:	63146-5704
Country	:	US
Telephone Number	:	314-997-8833
Fax Number	:	314-997-3115

Provider Business Practice Location Address
First Line	:	10916 SCHUETZ RD
Second Line	:
City	:	SAINT LOUIS
State	:	MO
Zip	:	63146-5704
Country	:	US
Telephone Number	:	314-997-8833
Fax Number	:	314-997-3115

Authorized Official
Title or Position	:	OWNER
Name	:	GRETCHEN ANN CURRY
Credential	:
Telephone Number	:	314-997-8833

Provider Enumeration Date	:	11/03/2005
Last Update Date	:	12/21/2020

Similar Medicare Providers

1316719651 — JOSLYN WALLACE
Practice Location Address:

10922 SCHUETZ RD
SAINT LOUIS, MO
63146-5704

Practice Phone: 314-301-8601
Practice Fax:

1356294946 — DR. COLETTE MCLEMORE DIXON
Practice Location Address:

10922 SCHUETZ RD
SAINT LOUIS, MO
63146-5704

Practice Phone: 314-612-4827
Practice Fax:

1407707482 — JENNIFER F WADE
Practice Location Address:

10922 SCHUETZ RD
SAINT LOUIS, MO
63146-5704

Practice Phone: 314-612-4827
Practice Fax:

1114099595 — JEWISH FAMILY SERVICES OF ST. LOUIS
Practice Location Address:

10950 SCHUETZ RD
SAINT LOUIS, MO
63146-5704

Practice Phone: 314-993-1000
Practice Fax:

1962544171 — SUPPLEMENTAL MEDICAL SERVICES
Practice Location Address:

10916 SCHUETZ RD
SAINT LOUIS, MO
63146-5704

Practice Phone: 314-997-8833
Practice Fax: 314-997-3115

1437291754 — SUPPLEMENTAL MEDICAL SERVICES
Practice Location Address:

10916 SCHUETZ RD
SAINT LOUIS, MO
63146-5704

Practice Phone: 314-997-8833
Practice Fax: 314-997-3115

Directions to “SUPPLEMENTAL MEDICAL SERVICES ” Practice Location

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