Jhonny Lorenzo, C-AA is a medicare enrolled "Anesthesiologist Assistant" physician in Saint Louis, Missouri. His current practice location is
615 S New Ballas Rd, Saint Louis, Missouri. You can reach out to his office (for appointments etc.) via phone at
(636) 386-9224.
Jhonny Lorenzo is licensed to practice in Missouri (license number 2023000420) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1255066122.
Physician's Profile
| Full Name | Jhonny Lorenzo |
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| Gender | Male |
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| Speciality | Anesthesiologist Assistant |
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| Location | 615 S New Ballas Rd, 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: 1255066122
- Provider Enumeration Date: 07/23/2022
- Last Update Date: 01/11/2023
Medicare PECOS Information:
- PECOS PAC ID: 6305216193
- Enrollment ID: I20230404000275
Medical Identifiers
Medical identifiers for Jhonny Lorenzo such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1255066122 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 207LC0200X | Anesthesiology - Critical Care Medicine | 056859477 (Georgia) | Secondary |
| 390200000X | Student In An Organized Health Care Education/training Program | (Georgia) | Secondary |
| 367H00000X | Anesthesiologist Assistant | 2023000420 (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. Jhonny Lorenzo allows following entities to bill medicare on his behalf.
| Entity Name | The Emory Clinic Inc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1396798229
PECOS PAC ID: 8820901408
Enrollment ID: O20031110000503 |
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| Entity Name | Wellstar Medical Group, Llc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1558664003
PECOS PAC ID: 6709065402
Enrollment ID: O20110127000374 |
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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. Jhonny Lorenzo 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 |
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Jhonny Lorenzo, C-AA
339 Consort Dr,
Ballwin, MO 63011-4439
Ph: (636) 386-9224 | Jhonny Lorenzo, C-AA
615 S New Ballas Rd,
Saint Louis, MO 63141-8221
Ph: (636) 386-9224 |
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