CHARLES DAVID BERTRAND (NPI# 1063803930) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1063803930 |
| Entity Type | Individual |
| Full Name | CHARLES DAVID BERTRAND |
| Practice Address |
820 Park Dr Ste Genevieve MO 63670-1566 |
| Mailing Address |
402 S Silver Springs Rd Cape Girardeau MO 63703-7536 |
| Practice Telephone | 5738837407 |
| Practice Fax Number | 5738837537 |
| Mailing Telephone | 5733322779 |
| Mailing Fax Number | 5736514345 |
| Enumeration Date | 2015-02-12 |
| Last Update Date | 2015-02-12 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 171M00000X | Case Manager/Care Coordinator | Other Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114986882 | Charles Caffery Bertrand | Pediatrics | 611 E Prudhomme St, Suite 5, Opelousas, LA 70570-6458 | 2006-03-21 |
| Street Address |
820 PARK DR |
| City | STE GENEVIEVE |
| State | MO |
| Zip Code | 63670-1566 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477671279 | Seilo Inc. Dba Chateau Care | Assisted Living Facility | 820 Park Dr, Ste Genevieve, MO 63670 | 2007-03-27 |
| 1497378335 | Rachel M Millinger | Counselor | 820 Park Dr, Ste Genevieve, MO 63670-1566 | 2020-05-27 |
| 1386115566 | Dawn Shelley Holligan | Counselor | 820 Park Dr, Ste Genevieve, MO 63670-1566 | 2018-12-16 |
| 1346733037 | Heather D Beister | Counselor | 820 Park Dr, Ste Genevieve, MO 63670-1566 | 2018-06-07 |
| 1285122002 | Jessica Ashley Blum | Counselor | 820 Park Dr, Ste Genevieve, MO 63670-1566 | 2018-04-26 |
| 1851892244 | Jennifer Hornberger | Counselor | 820 Park Dr, Ste Genevieve, MO 63670-1566 | 2018-02-22 |
| 1942708797 | Melinda Fambrough | Counselor | 820 Park Dr, Ste Genevieve, MO 63670-1566 | 2018-01-26 |
| 1265745673 | Jerri Denise Moore | Counselor | 820 Park Dr, Ste Genevieve, MO 63670-1566 | 2010-07-15 |
| 1831425438 | Leah Michelle Forbis | Counselor | 820 Park Dr, Ste Genevieve, MO 63670-1566 | 2009-11-02 |
| 1700079324 | Sonja Schario | Counselor | 820 Park Dr, Ste Genevieve, MO 63670-1566 | 2007-08-27 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376175034 | Kirsti Emalyn Pohlman | Occupational Therapist | 21964 Highway 61, Ste. Genevieve, MO 63670 | 2020-02-10 |
| 1124658232 | Ste Genevieve County Memorial Hospital | Pharmacy | 575 Pine Dr, Ste Genevieve, MO 63670 | 2020-01-17 |
| 1629554084 | In-line Chiropractic, LLC | Chiropractor | 545 Rozier St, Ste Genevieve, MO 63670 | 2018-07-18 |
| 1447586649 | Riverview At The Park, Inc | Skilled Nursing Facility | 1100 Progress Parkway, Ste. Genevieve, MO 63670 | 2009-10-22 |
| 1790923464 | Ryan Joseph Tisher | Chiropractor | 535 Rozier St., Ste. Genevieve, MO 63670 | 2009-02-03 |
| 1043467756 | Travis Ray Huffman | Physical Therapy Assistant | 21964 Us Highway 61, Ste. Genevieve, MO 63670 | 2008-08-25 |
| 1447464557 | Shannon Leigh Blum | Specialist/Technologist | 21964 Hightway 32, Ste. Genevieve, MO 63670 | 2007-05-09 |
| 1538289236 | Ryan Buchheit | Physical Therapist | 21964 Highway 32, Ste. Genevieve, MO 63670 | 2007-03-29 |
| 1588709794 | William F. Mitchell Jr. | Pharmacist | 800 Ste. Genevieve Drive, Ste. Genevieve, MO 63670 | 2007-02-21 |
| 1760545909 | Vickie R Bruckerhoff | Counselor | Hwy 61 & 32, Ste Genevieve, MO 63670 | 2006-12-19 |
| Find all providers in zip 63670 | ||||
| Taxonomy Code | 171M00000X |
| Grouping | Other Service Providers |
| Classification | Case Manager/Care Coordinator |
| A person who provides case management services and assists an individual in gaining access to needed medical, social, educational, and/or other services. The person has the ability to provide an assessment and review of completed plan of care on a periodic basis. This person is also able to take collaborative action to coordinate the services with other providers and monitor the enrollee’s progress toward the cost-effective achievement of objectives specified in the plan of care. Credentials may vary from an experience in the fields of psychology, social work, rehabilitation, nursing or a closely related human service field, to a related Assoc of Arts Degree or to nursing credentials. Some states may require certification in case management. |
| Notes: Source: CMS State Medicaid Manual Section 4442.3 [7/1/2006: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861092074 | Strategic Family Solutions, LLC | Case Manager/Care Coordinator | 1904 Ne 80th St, Kansas City, MO 64118-1541 | 2020-10-27 |
| 1528667441 | Ronald York Sr. | Case Manager/Care Coordinator | 1000 N Vandeventer Ave, Saint Louis, MO 63113-3459 | 2020-10-21 |
| 1659983476 | Anthony Thomas Leogrande | Case Manager/Care Coordinator | 122 Briar Meadow Dr, Carl Junction, MO 64834-9690 | 2020-08-21 |
| 1134740004 | Kertonnia Petty-miliken | Case Manager/Care Coordinator | 2570 Mockingbird Ln, Florissant, MO 63031-3611 | 2020-05-02 |
| 1861013732 | Shontay Simpson | Case Manager/Care Coordinator | 37 Saint Anthony Ln, Florissant, MO 63031-6720 | 2020-05-02 |
| 1326677964 | Elaine Baker | Case Manager/Care Coordinator | 120 N Mill St, Festus, MO 63028-1816 | 2020-04-06 |
| 1205487139 | Stacey C Smith | Case Manager/Care Coordinator | 4166 Lindell Blvd Ste 1b, Saint Louis, MO 63108-2923 | 2019-09-23 |
| 1932758125 | Proactive Home Care Missouri | Case Manager/Care Coordinator | 104b W Mount Vernon Blvd, Mount Vernon, MO 65712-1936 | 2019-09-10 |
| 1235781055 | Melony Crayton | Case Manager/Care Coordinator | 800 N Tucker Blvd # Stm, Saint Louis, MO 63101-1008 | 2019-07-11 |
| 1497214118 | Ashley N Nelson | Case Manager/Care Coordinator | 2632 Breckenridge Cir, O Fallon, MO 63368-6669 | 2019-03-13 |
| Find all providers with the same taxonomy | ||||
| City | STE GENEVIEVE |
| Zip Code | 63670 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.