Dr Jonathan Jerome Lusardi, MD is a medicare enrolled "Otolaryngology" physician in Bridgeton, Missouri. 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.
Physician's Profile
Full Name | Dr Jonathan Jerome Lusardi |
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Gender | Male |
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Speciality | |
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Experience | Years |
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Location | 12255 Depaul Dr 830n, Bridgeton, Missouri |
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Accepts Medicare Assignments | Yes. 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 in
NPI Data:
- NPI Number: 1487940672
- Provider Enumeration Date: 06/26/2011
- Last Update Date: 04/27/2021
Medicare PECOS Information:
- PECOS PAC ID:
- Enrollment ID:
Medical Identifiers
Medical identifiers for Dr Jonathan Jerome Lusardi such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1487940672 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
207Y00000X | Otolaryngology | 2016009655 (Missouri) | Primary |
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 Address | Practice 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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