Dr Jonathan Jerome Lusardi, MD is a medicare enrolled "Otolaryngology" physician in Bridgeton, Missouri. He went to Saint Louis University School Of Medicine and graduated in 2011 and has 13 years of diverse experience with area of expertise as Otolaryngology. He is a member of the group practice Mercy Clinic Ent Llc and his current practice location is
12255 Depaul Dr 830n, Bridgeton, Missouri. You can reach out to his office (for appointments etc.) via phone at
(314) 291-5307.
Dr Jonathan Jerome Lusardi is licensed to practice in Missouri (license number 2016009655) and he also participates in the medicare program. He
accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1487940672.
Physician's Profile
| Full Name | Dr Jonathan Jerome Lusardi |
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| Gender | Male |
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| Speciality | Otolaryngology |
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| Experience | 13 Years |
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| Location | 12255 Depaul Dr 830n, Bridgeton, Missouri |
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| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Dr Jonathan Jerome Lusardi attended and graduated from Saint Louis University School Of Medicine in 2011
NPI Data:
- NPI Number: 1487940672
- Provider Enumeration Date: 06/26/2011
- Last Update Date: 04/27/2021
Medicare PECOS Information:
- PECOS PAC ID: 9335442698
- Enrollment ID: I20160519002258
Medical Identifiers
Medical identifiers for Dr Jonathan Jerome Lusardi such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1487940672 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 207Y00000X | Otolaryngology | 2016009655 (Missouri) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| Mercy Clinic Ent Llc | 7517118813 | 9 |
Medicare Reassignments
Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Dr Jonathan Jerome Lusardi allows following entities to bill medicare on his behalf.
| Entity Name | Mercy Clinic Ent Llc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1366705998
PECOS PAC ID: 7517118813
Enrollment ID: O20121114000539 |
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Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Jonathan Jerome Lusardi is
enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
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Dr Jonathan Jerome Lusardi, MD
12255 Depaul Dr Suite 830n,
Bridgeton, MO 63044-2510
Ph: (314) 291-5307 | Dr Jonathan Jerome Lusardi, MD
12255 Depaul Dr 830n,
Bridgeton, MO 63044
Ph: (314) 291-5307 |
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