Donna R Halloran, MD - Medicare Pediatrics in St. Louis, MO

Donna R Halloran, MD is a medicare enrolled "Pediatrics" physician in St. Louis, Missouri. Her current practice location is 1465 S Grand Blvd, St. Louis, Missouri. You can reach out to her office (for appointments etc.) via phone at (314) 268-4101.

Donna R Halloran is licensed to practice in Missouri (license number 2005012170) 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 1003826520.

Contact Information

Donna R Halloran, MD
1465 S Grand Blvd,
St. Louis, MO 63104-1003
(314) 268-4101
(314) 577-5379



Physician's Profile

Full NameDonna R Halloran
GenderFemale
SpecialityPediatrics
Location1465 S Grand Blvd, St. Louis, Missouri
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1003826520
  • Provider Enumeration Date: 08/08/2006
  • Last Update Date: 07/31/2015
  Medicare PECOS Information:
  • PECOS PAC ID: 3577599042
  • Enrollment ID: I20050715000421

Medical Identifiers

Medical identifiers for Donna R Halloran such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1003826520NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
208000000XPediatrics 2005012170 (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. Donna R Halloran allows following entities to bill medicare on her behalf.
Entity NameSsm Health Care St Louis
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1275586174
PECOS PAC ID: 7810800737
Enrollment ID: O20031118000393

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Entity NameSsm Cardinal Glennon Children's Hospital
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1174577670
PECOS PAC ID: 7012828163
Enrollment ID: O20031231000604

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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. Donna R Halloran 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 AddressPractice Location Address
Donna R Halloran, MD
3691 Rutger Ave,
St. Louis, MO 63110-2515

Ph: (314) 977-6828
Donna R Halloran, MD
1465 S Grand Blvd,
St. Louis, MO 63104-1003

Ph: (314) 268-4101

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Pediatrics Doctors in St. Louis, MO

Patrick Francis Durkin, MD
Pediatrics
Medicare: Not Enrolled in Medicare
Practice Location: 1 Childrens Place, 3rd Floor, Suite 3s34, St. Louis, MO 63110
Phone: 314-454-6006    
Shulamit Menashe Portnoy, MD
Pediatrics
Medicare: Medicare Enrolled
Practice Location: 1465 S Grand Blvd, St. Louis, MO 63104
Phone: 314-577-5609    Fax: 314-268-4028
Felicia L. Harvey, MD
Pediatrics
Medicare: Medicare Enrolled
Practice Location: 11642 West Florissant, St. Louis, MO 63033
Phone: 314-838-8220    Fax: 314-838-8091
Mary S Heaney, MD
Pediatrics
Medicare: Medicare Enrolled
Practice Location: 1465 S Grand Blvd, St. Louis, MO 63104
Phone: 314-268-4101    Fax: 314-577-5379
Dr. Kristen M Mennemeier, M.D.
Pediatrics
Medicare: Not Enrolled in Medicare
Practice Location: 3009 N. Ballas Rd., Suite 257c, St. Louis, MO 63131
Phone: 314-569-2112    Fax: 314-569-1270
Lauren Rhae Draper, M.D.
Pediatrics
Medicare: Medicare Enrolled
Practice Location: 1465 S Grand Blvd, Department Of Pediatrics Division Of Heme/onc, St. Louis, MO 63104
Phone: 314-577-5638    Fax: 314-268-4081

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