Mary Joanna Petruska-nordmann, MD in Saint Charles, MO

Mary Joanna Petruska-nordmann, MD is a medicare enrolled "Pediatrics" physician in Saint Charles, Missouri. Her current practice location is 300 1st Capitol Dr, Saint Charles, Missouri. You can reach out to her office (for appointments etc.) via phone at (636) 947-5000.

Mary Joanna Petruska-nordmann is licensed to practice in Missouri (license number 111318) 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 1386698512.

Contact Information

	Mary Joanna Petruska-nordmann, MD
	300 1st Capitol Dr, Saint Charles, MO 63301-2844
	(636) 947-5000
	Not Available

Map and Direction

Physician's Profile

Full Name	Mary Joanna Petruska-nordmann
Gender	Female
Speciality	Pediatrics
Location	300 1st Capitol Dr, Saint Charles, Missouri
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1386698512
Provider Enumeration Date: 05/20/2006
Last Update Date: 07/08/2007

Medicare PECOS Information:

PECOS PAC ID: 9436213907
Enrollment ID: I20090128000066

Medical Identifiers

Medical identifiers for Mary Joanna Petruska-nordmann such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1386698512	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
208000000X	Pediatrics	111318 (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. Mary Joanna Petruska-nordmann allows following entities to bill medicare on her behalf.

Entity Name	Ssm Health Care St Louis
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1275586174 PECOS PAC ID: 7810800737 Enrollment ID: O20031118000393

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. Mary Joanna Petruska-nordmann 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
Mary Joanna Petruska-nordmann, MD 1836 Lackland Hill Pkwy, Attn: Credentialing, Saint Louis, MO 63146-3572 Ph: (314) 989-0300	Mary Joanna Petruska-nordmann, MD 300 1st Capitol Dr, Saint Charles, MO 63301-2844 Ph: (636) 947-5000

Reviews and Comments

Pediatrics Doctors in Saint Charles, MO

Dr. Jenny Lynn Miele, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 11 Garvey Pkwy, Saint Charles, MO 63303 Phone: 636-441-7280 Fax: 636-939-9208
Dr. Erin Elizabeth Casey, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 11 Garvey Pkwy, Saint Charles, MO 63303 Phone: 636-441-7280 Fax: 636-939-9208
Dr. Nadira Adil, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 1551 Wall St, 4th Floor, Saint Charles, MO 63303 Phone: 636-669-2443 Fax: 636-669-2401
Dr. Keith J Moll, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 711 Veterans Memorial Pkwy Ste 200, Saint Charles, MO 63303 Phone: 636-669-2443 Fax: 636-669-2390
Dr. Fariba Azarpour, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 711 Veterans Memorial Pkwy Ste 200, Saint Charles, MO 63303 Phone: 636-669-2443 Fax: 636-669-2390
Dr. Andrea Cohron Orr, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 11 Garvey Pkwy, Saint Charles, MO 63303 Phone: 636-441-7280 Fax: 636-939-9208

Mary Joanna Petruska-nordmann, MD - Medicare Pediatrics in Saint Charles, MO