Dr Kalla Alexis Gervasio, MD in Saint Louis, MO - Medicare Plastic And Reconstructive Surgery

Dr Kalla Alexis Gervasio, MD is a medicare enrolled "Ophthalmology - Ophthalmic Plastic And Reconstructive Surgery" physician in Saint Louis, Missouri. She went to Icahn School Of Medicine At Mount Sinai and graduated in 2017 and has 7 years of diverse experience with area of expertise as Plastic And Reconstructive Surgery. She is a member of the group practice Washington University and her current practice location is 4901 Forest Park Ave, Dept Ophthalmology, 6th Fl, Saint Louis, Missouri. You can reach out to her office (for appointments etc.) via phone at (314) 362-3937.

Dr Kalla Alexis Gervasio is licensed to practice in Missouri (license number 2022016365) 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 1619409364.

Contact Information

	Dr Kalla Alexis Gervasio, MD
	4901 Forest Park Ave, Dept Ophthalmology, 6th Fl, Saint Louis, MO 63108-1495
	(314) 362-3937
	(314) 362-3725

Map and Direction

Physician's Profile

Full Name	Dr Kalla Alexis Gervasio
Gender	Female
Speciality	Plastic And Reconstructive Surgery
Experience	7 Years
Location	4901 Forest Park Ave, Saint Louis, Missouri
Accepts Medicare Assignments	Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Dr Kalla Alexis Gervasio attended and graduated from Icahn School Of Medicine At Mount Sinai in 2017

NPI Data:

NPI Number: 1619409364
Provider Enumeration Date: 03/31/2017
Last Update Date: 04/10/2024

Medicare PECOS Information:

PECOS PAC ID: 1850642380
Enrollment ID: I20220613001061

Medical Identifiers

Medical identifiers for Dr Kalla Alexis Gervasio such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1619409364	NPI	-	NPPES
200109577	Medicaid	MO

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207WX0200X	Ophthalmology - Ophthalmic Plastic And Reconstructive Surgery	2022016365 (Missouri)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Barnes Jewish Hospital	Saint louis, MO	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Washington University	9830008770	2506

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 Kalla Alexis Gervasio allows following entities to bill medicare on her behalf.

Entity Name	Washington University
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1013957562 PECOS PAC ID: 9830008770 Enrollment ID: O20040607000203

Entity Name	Ophthalmic Plastic & Cosmetic Surgery Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1942497805 PECOS PAC ID: 5991765919 Enrollment ID: O20041014000372

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 Kalla Alexis Gervasio 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 Kalla Alexis Gervasio, MD Po Box 60352, Saint Louis, MO 63160-0352 Ph: (314) 362-3937	Dr Kalla Alexis Gervasio, MD 4901 Forest Park Ave, Dept Ophthalmology, 6th Fl, Saint Louis, MO 63108-1495 Ph: (314) 362-3937

Reviews and Comments

Ophthalmology Doctors in Saint Louis, MO

Dr. Laila G. Gabrawy, M.D. Ophthalmology Medicare: Not Enrolled in Medicare Practice Location: 5471 Dr Martin Luther King Dr, Saint Louis, MO 63112 Phone: 314-367-5820 Fax: 314-367-7010
Dr. Jing-wei Huang, MD Ophthalmology Medicare: Accepting Medicare Assignments Practice Location: 4901 Forest Park Ave, Dept Ophthalmology, 6th Fl, Saint Louis, MO 63108 Phone: 314-362-3937 Fax: 314-362-3725
Dr. Nancy Buchser, MD Ophthalmology Medicare: Accepting Medicare Assignments Practice Location: 4921 Parkview Pl Ste 14f, Saint Louis, MO 63110 Phone: 314-361-5003 Fax: 314-361-2686
Dr. Zachary D Seagrave, MD Ophthalmology Medicare: Accepting Medicare Assignments Practice Location: 517 S Euclid Ave, Saint Louis, MO 63110 Phone: 314-362-3431 Fax: 314-362-6564
Rajwant Mahal, Ophthalmology Medicare: Not Enrolled in Medicare Practice Location: 1 Barnes Jew Hosp Plz, Saint Louis, MO 63110 Phone: 559-978-6740
Dr. Bruce Hagedorn Cohen, M.D. Ophthalmology Medicare: Accepting Medicare Assignments Practice Location: 4921 Parkview Pl, Ste 14f, Saint Louis, MO 63110 Phone: 314-361-5003 Fax: 314-361-2686
Dr. Muhammad Ishaq Chishti, M.D. Ophthalmology Medicare: Not Enrolled in Medicare Practice Location: 6680 Chippewa St, Suite 220, Saint Louis, MO 63109 Phone: 314-351-0101 Fax: 314-351-4697

Dr Kalla Alexis Gervasio, MD - Medicare Plastic And Reconstructive Surgery in Saint Louis, MO