Dr Sara Susan Procknow, MD is a medicare enrolled "Medical Genetics - Clinical Genetics (m.d.)" physician in Saint Louis, Missouri. She went to Saint Louis University School Of Medicine and graduated in 2016 and has 10 years of diverse experience with area of expertise as Pediatric Medicine. She is a member of the group practice Washington University and her current practice location is
1 Childrens Pl, Div Ped Genetics And Genomic Med, Saint Louis, Missouri. You can reach out to her office (for appointments etc.) via phone at
(314) 454-6093.
Dr Sara Susan Procknow is licensed to practice in Missouri (license number 2020011269) and she also participates in the medicare program. She
accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1033569918.
Physician's Profile
| Full Name | Dr Sara Susan Procknow |
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| Gender | Female |
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| Speciality | Pediatric Medicine |
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| Experience | 10 Years |
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| Location | 1 Childrens Pl, Saint Louis, Missouri |
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| Accepts Medicare Assignments | Yes. She 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 Sara Susan Procknow attended and graduated from Saint Louis University School Of Medicine in 2016
NPI Data:
- NPI Number: 1033569918
- Provider Enumeration Date: 06/21/2016
- Last Update Date: 04/17/2025
Medicare PECOS Information:
- PECOS PAC ID: 8022400753
- Enrollment ID: I20220110000537
Medical Identifiers
Medical identifiers for Dr Sara Susan Procknow such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1033569918 | NPI | - | NPPES |
| 200063700 | Medicaid | MO | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 208000000X | Pediatrics | 2020011269 (Missouri) | Secondary |
| 207SG0201X | Medical Genetics - Clinical Genetics (m.d.) | 2020011269 (Missouri) | Primary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|
| Washington University | 9830008770 | 2782 |
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 Sara Susan Procknow allows following entities to bill medicare on her behalf.
| Entity Name | Washington University |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1194765685
PECOS PAC ID: 9830008770
Enrollment ID: O20040607000287 |
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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 Sara Susan Procknow 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 |
|---|
Dr Sara Susan Procknow, MD
Po Box 7412011,
Chicago, IL 60674-2011
Ph: (314) 454-6093 | Dr Sara Susan Procknow, MD
1 Childrens Pl, Div Ped Genetics And Genomic Med,
Saint Louis, MO 63110-1002
Ph: (314) 454-6093 |
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