Dr Sara Susan Procknow, MD is a medicare enrolled "Medical Genetics - Clinical Genetics (m.d.)" physician in Saint Louis, Missouri. Her current practice location is
1 Childrens Pl, Div Ped Genetics And Genomic Med, Saint Louis, Missouri. You can reach out to her office (for appointments etc.) via phone at
(314) 454-6093.
Dr Sara Susan Procknow is licensed to practice in Missouri (license number 2020011269) 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 1033569918.
Physician's Profile
| Full Name | Dr Sara Susan Procknow |
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| Gender | Female |
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| Speciality | Medical Genetics - Clinical Genetics (m.d.) |
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| Location | 1 Childrens Pl, Saint Louis, Missouri |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1033569918
- Provider Enumeration Date: 06/21/2016
- Last Update Date: 04/25/2024
Medicare PECOS Information:
- PECOS PAC ID: 8022400753
- Enrollment ID: I20220110000537
Medical Identifiers
Medical identifiers for Dr Sara Susan Procknow such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1033569918 | NPI | - | NPPES |
| 200063700 | Medicaid | MO | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 208000000X | Pediatrics | 2020011269 (Missouri) | Secondary |
| 207SG0201X | Medical Genetics - Clinical Genetics (m.d.) | 2020011269 (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. Dr Sara Susan Procknow allows following entities to bill medicare on her behalf.
| Entity Name | Washington University |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1194765685
PECOS PAC ID: 9830008770
Enrollment ID: O20040607000287 |
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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 Sara Susan Procknow 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 Sara Susan Procknow, MD
Po Box 60352,
Saint Louis, MO 63160-0352
Ph: (314) 454-6093 | Dr Sara Susan Procknow, MD
1 Childrens Pl, Div Ped Genetics And Genomic Med,
Saint Louis, MO 63110-1002
Ph: (314) 454-6093 |
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