Lauren Marie Rackovan, - Medicare Obstetrics & Gynecology in Fenton, MO

Lauren Marie Rackovan, is a medicare enrolled "Obstetrics & Gynecology" physician in Fenton, Missouri. Her current practice location is 1011 Bowles Ave Ste 215, Fenton, Missouri. You can reach out to her office (for appointments etc.) via phone at (636) 680-1960.

Lauren Marie Rackovan is licensed to practice in Missouri (license number 2018030932) 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 1508328782.

Contact Information

Lauren Marie Rackovan,
1011 Bowles Ave Ste 215,
Fenton, MO 63026-2387
(636) 680-1960
Not Available



Physician's Profile

Full NameLauren Marie Rackovan
GenderFemale
SpecialityObstetrics & Gynecology
Location1011 Bowles Ave Ste 215, Fenton, Missouri
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1508328782
  • Provider Enumeration Date: 04/04/2019
  • Last Update Date: 04/04/2019
  Medicare PECOS Information:
  • PECOS PAC ID: 5193157220
  • Enrollment ID: I20191112000687

Medical Identifiers

Medical identifiers for Lauren Marie Rackovan such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1508328782NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207V00000XObstetrics & Gynecology 2018030932 (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. Lauren Marie Rackovan allows following entities to bill medicare on her behalf.
Entity NameMercy Clinic East Communities
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1851335228
PECOS PAC ID: 7214827922
Enrollment ID: O20070521000006

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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. Lauren Marie Rackovan 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
Lauren Marie Rackovan,
517 Queens Court Pl,
Saint Peters, MO 63376-7390

Ph: (636) 699-8743
Lauren Marie Rackovan,
1011 Bowles Ave Ste 215,
Fenton, MO 63026-2387

Ph: (636) 680-1960

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Obstetrics & Gynecology Doctors in Fenton, MO

Dr. Lawrence Vincent Boveri, MD
Obstetrics & Gynecology
Medicare: Accepting Medicare Assignments
Practice Location: 1011 Bowles Ave, Suite 215, Fenton, MO 63026
Phone: 636-680-1960    Fax: 636-680-1964
Dr. Adriana M Canas-polesel, MD
Obstetrics & Gynecology
Medicare: Medicare Enrolled
Practice Location: 1203 Smizer Mill Rd Ste 106, Fenton, MO 63026
Phone: 636-717-1390    Fax: 636-717-1395
Mr. Stephen Angelo Boveri, MD
Obstetrics & Gynecology
Medicare: Accepting Medicare Assignments
Practice Location: 1011 Bowles Ave, Suite 215, Fenton, MO 63026
Phone: 636-680-1960    Fax: 636-680-1964
Dr. Amy Christine Eichholz, M.D.
Obstetrics & Gynecology
Medicare: Accepting Medicare Assignments
Practice Location: 1011 Bowles Ave, Suite 215, Fenton, MO 63028
Phone: 636-680-1960    Fax: 636-680-1964
Dr. Vandana Dalton, M.D.
Obstetrics & Gynecology
Medicare: Accepting Medicare Assignments
Practice Location: 714 Gravois Rd, Fenton, MO 63026
Phone: 636-717-6775    Fax: 636-717-6755
Jessica Jenkins, MD
Obstetrics & Gynecology
Medicare: Medicare Enrolled
Practice Location: 1011 Bowles Ave Ste G10, Fenton, MO 63026
Phone: 314-842-7910    

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