Dr Jonathan Jerome Lusardi, MD - Medicare Otolaryngology in Bridgeton, MO

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.

Contact Information

Dr Jonathan Jerome Lusardi, MD
12255 Depaul Dr 830n,
Bridgeton, MO 63044
(314) 291-5307
(314) 291-0838



Physician's Profile

Full NameDr Jonathan Jerome Lusardi
GenderMale
SpecialityOtolaryngology
Experience13 Years
Location12255 Depaul Dr 830n, Bridgeton, Missouri
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  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.
IdentifierTypeStateIssuer
1487940672NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207Y00000XOtolaryngology 2016009655 (Missouri)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Mercy Hospital St LouisSaint louis, MOHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Mercy Clinic Ent Llc75171188139

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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 NameMercy Clinic Ent Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI 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 AddressPractice Location Address
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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Otolaryngology Doctors in Bridgeton, MO

Dr. Jason Matthew Hanson, M.D.
Otolaryngology
Medicare: Accepting Medicare Assignments
Practice Location: 12255 De Paul Dr Ste 830n, Bridgeton, MO 63044
Phone: 314-291-5307    Fax: 314-291-0838

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