Dr Tatyana R Demidovich, MD in St Louis, MO

Dr Tatyana R Demidovich, MD is a medicare enrolled "Anesthesiology" physician in St Louis, Missouri. Her current practice location is 3635 Vista Ave Fdt3, St Louis University, St Louis, Missouri. You can reach out to her office (for appointments etc.) via phone at (314) 577-8750.

Dr Tatyana R Demidovich is licensed to practice in Indiana (license number 01059495A) 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 1376539668.

Contact Information

	Dr Tatyana R Demidovich, MD
	3635 Vista Ave Fdt3, St Louis University, St Louis, MO 63110
	(314) 577-8750
	Not Available

Map and Direction

Physician's Profile

Full Name	Dr Tatyana R Demidovich
Gender	Female
Speciality	Anesthesiology
Location	3635 Vista Ave Fdt3, St Louis, Missouri
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1376539668
Provider Enumeration Date: 09/22/2005
Last Update Date: 10/20/2009

Medicare PECOS Information:

PECOS PAC ID: 2163491556
Enrollment ID: I20090203000587

Medical Identifiers

Medical identifiers for Dr Tatyana R Demidovich such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1376539668	NPI	-	NPPES
200253830	Medicaid	IN

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207L00000X	Anesthesiology	01059495A (Indiana)	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 Tatyana R Demidovich allows following entities to bill medicare on her behalf.

Entity Name	Ssm Health Care Group
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1306589544 PECOS PAC ID: 0143608372 Enrollment ID: O20220531002655

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 Tatyana R Demidovich 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 Tatyana R Demidovich, MD 3635 Vista Fdt3, St Louis University, St Louis, MO 63110 Ph: () -	Dr Tatyana R Demidovich, MD 3635 Vista Ave Fdt3, St Louis University, St Louis, MO 63110 Ph: (314) 577-8750

Reviews and Comments

Anesthesiology Doctors in St Louis, MO

Mary Hanna, M.D. Anesthesiology Medicare: Not Enrolled in Medicare Practice Location: 660 South Euclid Avenue, St Louis, MO 63110 Phone: 613-795-4184
Dr. Grant Nicholas Bleeker, M.D. Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 3015 N Ballas Rd, St Louis, MO 63131 Phone: 314-996-5000
Hui Yuan, MD Anesthesiology Medicare: Medicare Enrolled Practice Location: 3635 Vista, St Louis, MO 63110 Phone: 314-577-8750 Fax: 314-268-5102
Jeffrey Owen Bray, DO Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 6420 Clayton Road, St Louis, MO 63117 Phone: 314-768-8442 Fax: 314-768-8442
John D Srinivasan, MD Anesthesiology Medicare: Medicare Enrolled Practice Location: 3635 Vista, St Louis, MO 63110 Phone: 314-577-8750 Fax: 314-268-5102
Lucia Z Liu, MD Anesthesiology Medicare: Not Enrolled in Medicare Practice Location: 3635 Vista, St Louis, MO 63110 Phone: 314-577-8750 Fax: 314-268-5102
Kumiko Shimoda, MD Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 6420 Clayton Road, St Louis, MO 63117 Phone: 314-768-8442 Fax: 314-768-8442

Dr Tatyana R Demidovich, MD - Medicare Anesthesiology in St Louis, MO