Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Dr. Caroline Song, MD

Individual provider Family Medicine Physician · NPI 1053940106

Dr. Caroline Song, MD is a Family Practice in Festus, Missouri. Qualified in 2020, 6 years ago. Practices with Mercy Clinic Adult Hospitalists Jefferson LLC, a 58-clinician group and accepts Medicare assignment. Licensed in California and Missouri.

Years since qualifying
6
Licensed in
CA, MO
In the registry since
2020
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

1400 US Highway 61
Festus, MO 63028-4100
Phone: (636) 933-1000
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence 2023041817 (MO)
Family Medicine Physician Taxonomy 207Q00000X · Licence A184467 (CA)

Record details

NPI number1053940106
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorNo
NPI enumeratedApril 2, 2020
Last updated in NPPESJanuary 23, 2024
Certification dateJanuary 23, 2024
Mailing address537 Eaglesridge Dr, Wildwood, MO 63021-2022

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyFAMILY PRACTICE
Medical schoolOTHER
Graduated 2020 (6 years in practice)
Group practice Mercy Clinic Adult Hospitalists Jefferson Llc — 58 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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