Organization
JEFFERSON CITY MEDICAL GROUP, P.C.
Active
Other names
Internal Medicine
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JEFFREY LEE PATRICK M.D. (PRESIDENT)
(573) 635-5264
Entity
Organization
Contact information
Practice address
1241 W STADIUM BLVD, SECOND FLOOR, SUITE 2200, JEFFERSON CITY, MO 65109-6023
(573) 556-5747
(573) 636-9756
Mailing address
PO BOX 104240, JEFFERSON CITY, MO 65110-4240
(573) 635-5264
(573) 636-9756
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
CC7852
MEDICARE RAILROAD
MO
01
—
CD6058
MEDICARE RAILROAD
MO
01
—
CP9089
MEDICARE RAILROAD
—
Enumeration date
06/07/2006
Last updated
05/09/2023
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us