Wendolyn M Disalvo, MD in Saint Louis, MO

Wendolyn M Disalvo, MD is a medicare enrolled "Pediatrics" physician in Saint Louis, Missouri. Her current practice location is 11133 Dunn Rd, Street, Saint Louis, Missouri. You can reach out to her office (for appointments etc.) via phone at (314) 653-5000.

Wendolyn M Disalvo is licensed to practice in Missouri (license number 2006032134) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1871668798.

Contact Information

	Wendolyn M Disalvo, MD
	11133 Dunn Rd, Street, Saint Louis, MO 63136-6119
	(314) 653-5000
	Not Available

Map and Direction

Physician's Profile

Full Name	Wendolyn M Disalvo
Gender	Female
Speciality	Pediatrics
Location	11133 Dunn Rd, Saint Louis, Missouri
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1871668798
Provider Enumeration Date: 11/24/2006
Last Update Date: 03/15/2023

Medicare PECOS Information:

PECOS PAC ID: 7810096948
Enrollment ID: I20070629000512

Medical Identifiers

Medical identifiers for Wendolyn M Disalvo such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1871668798	NPI	-	NPPES
202437901	Medicaid	MO

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207P00000X	Emergency Medicine	2003014836 (Missouri)	Secondary
207P00000X	Emergency Medicine	2006032134 (Missouri)	Secondary
208000000X	Pediatrics	2006032134 (Missouri)	Primary

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. Wendolyn M Disalvo allows following entities to bill medicare on her behalf.

Entity Name	Ssm Health Care St Louis
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1275586174 PECOS PAC ID: 7810800737 Enrollment ID: O20031118000393

Entity Name	Phelps County Regional Medical Center
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1891766051 PECOS PAC ID: 2860391158 Enrollment ID: O20040106000405

Entity Name	Pcrmc Medical Group, Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1124237227 PECOS PAC ID: 1557454063 Enrollment ID: O20070829000437

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. Wendolyn M Disalvo 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
Wendolyn M Disalvo, MD 75 Remit Dr, Lockbox 6810, Chicago, IL 60675-6810 Ph: (866) 916-5259	Wendolyn M Disalvo, MD 11133 Dunn Rd, Street, Saint Louis, MO 63136-6119 Ph: (314) 653-5000

Reviews and Comments

Pediatrics Doctors in Saint Louis, MO

Dr. Michelle Dominique Pintea, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 1 Childrens Pl, Div Ped Emergency Med, Saint Louis, MO 63110 Phone: 314-454-2341 Fax: 314-454-4345
Dr. Rachel Elizabeth Granberg, MD, MPH Pediatrics Medicare: Medicare Enrolled Practice Location: 1 Childrens Pl Msc 8116-0043-09, Saint Louis, MO 63110 Phone: 314-454-2341 Fax: 314-454-2561
Timothy J Kutz, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 1465 S Grand Blvd, Saint Louis, MO 63104 Phone: 314-268-6406 Fax: 314-268-2712
Dr. William L Rives, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 1 Childrens Pl, Div Ped Hospitalist Med, Saint Louis, MO 63110 Phone: 314-454-2076 Fax: 314-747-8953
Dr. Linda A Tackes, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 5114 Mid America Plz, Ste 2c, Saint Louis, MO 63129 Phone: 314-859-4000 Fax: 314-273-4110
Dr. Peter M Kilbridge, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 1 Childrens Pl, Suite C, Saint Louis, MO 63110 Phone: 314-454-2479 Fax: 314-454-2524
Sarah B. Aschkenasi, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 660 S Euclid Ave, Saint Louis, MO 63110 Phone: 314-286-1264 Fax: 314-454-8869

Wendolyn M Disalvo, MD - Medicare Pediatrics in Saint Louis, MO