Jefferson City Medical Group, P.c.
Podiatrist
1241 W Stadium Blvd, Suite L400b, Jefferson City
Missouri, 65109-6023
573-556-5747 573-636-9756
Jefferson City Medical Group, P.c. is a Podiatrist in Jefferson City, Missouri. It is located at 1241 W Stadium Blvd, Suite L400b, Jefferson City and it's customer support contact number is 573-556-5747. The authorized person of Jefferson City Medical Group, P.c. is Dr. Jeffrey Lee Patrick, M.D. who is President of this DME and his contact number is 573-635-5264. Jefferson City Medical Group, P.c. accepts medicare which means medicare covered patients will not be billed for any more than the Medicare deductible and coinsurance.
Jefferson City Medical Group, P.c. is a podiatrist is a person qualified by a Doctor of Podiatric Medicine (D.P.M.) degree, licensed by the state, and practicing within the scope of that license. Podiatrists diagnose and treat foot diseases and deformities. They perform medical, surgical and other operative procedures, prescribe corrective devices and prescribe and administer drugs and physical therapy.
DME Supplier Details:
Jefferson City Medical Group, P.c. type, location, contact phone number and fax are as below. Patients can directly walkin or can call on the below given customer support phone number for enquiries.
| Name: | Jefferson City Medical Group, P.c. |
| Type: | Podiatrist |
| Location: | 1241 W Stadium Blvd, Suite L400b, Jefferson City,
Missouri, 65109-6023 |
| Phone: | 573-556-5747 |
| Fax: | 573-636-9756 |
Authorized/Official Person Profile:
Officially authorized person to contact for any management issues or complaints of this supplier is as below. Person's position and contact details are also mentioned below.
| Name: | Dr. Jeffrey Lee Patrick |
| Credentials: | M.D. |
| Position: | President |
| Contact Number: | 573-635-5264 |
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details of given supplier are as mentioned below.
| NPI Number: | 1871549345 |
| NPI Enumeration Date: | 26 May, 2006 |
| NPI Last Update On: | 03 Oct, 2024 |
Medical Licenses:
Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Jefferson City Medical Group, P.c. are as mentioned below.
| Specialization | License Number | State | Status | |
| Podiatrist | | | Primary | |
| Durable Medical Equipment & Medical Supplies | | | Secondary | |
Other Medical Identifiers:
Other legacy medical identifiers of this supplier such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
| Identifier | Type | State | Issuer |
| 506292002 | Medicaid | Missouri | |
| 0428190006 | Other | Missouri | Dmerc/noridian |
| CC7852 | Other | Missouri | Medicare Railroad |
Medicare Enrollment:
Jefferson City Medical Group, P.c. is enrolled in medicare and it's Pac Id, enrollment Id, registered name and type is as stated below.
| PAC ID: |
Enrollment ID: |
Org Name | Medicare Entity Type |
| 1850371089 | O20060620000040 | Jefferson City Medical Group Pc | PART B SUPPLIER - CLINIC/GROUP PRACTICE |
| 1850371089 | O20100930008255 | Jefferson City Medical Group Pc | DME SUPPLIER - PHYSICIAN - PODIATRY |
Products Available:
Jefferson City Medical Group, P.c. has following products available for sale under medicare.
| Products: |
|---|
| • Blood Glucose Monitors & Supplies: Non-mail Order | |
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | Po Box 104240,
Jefferson City, Missouri |
| Zip: | 65110-4240 |
| Phone Number: | 573-635-5264 |
| Fax Number: | 573-636-9756 |
Patients can reach Jefferson City Medical Group, P.c. at
1241 W Stadium Blvd, Suite L400b, Jefferson City, Missouri or can
call on customer care at 573-556-5747.
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**Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 December, 2025.