Sean Lewis Edelstein, MD - Medicare Ophthalmology in Saint Louis, MO

Sean Lewis Edelstein, MD is a medicare enrolled "Ophthalmology" physician in Saint Louis, Missouri. He graduated from medical school in 1997 and has 27 years of diverse experience with area of expertise as Ophthalmology. He is a member of the group practice Ssm Health Care Group, Jfj Eyecare Ltd, Jfj Eyecare Ltd and his current practice location is 1225 S Grand Blvd, Saint Louis, Missouri. You can reach out to his office (for appointments etc.) via phone at (314) 977-5200.

Sean Lewis Edelstein is licensed to practice in Missouri (license number 2005019369) 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 1679520605.

Contact Information

Sean Lewis Edelstein, MD
1225 S Grand Blvd,
Saint Louis, MO 63104-1016
(314) 977-5200
(314) 977-9910

Map and Direction




Physician's Profile

Full NameSean Lewis Edelstein
GenderMale
SpecialityOphthalmology
Experience27 Years
Location1225 S Grand Blvd, Saint Louis, Missouri
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Sean Lewis Edelstein graduated from medical school in 1997
  NPI Data:
  • NPI Number: 1679520605
  • Provider Enumeration Date: 05/27/2006
  • Last Update Date: 01/19/2021
  Medicare PECOS Information:
  • PECOS PAC ID: 8820023922
  • Enrollment ID: I20050928000003

Medical Identifiers

Medical identifiers for Sean Lewis Edelstein such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1679520605NPI-NPPES
1679520605MedicaidMO
200839009MedicaidMO

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207P00000XEmergency Medicine 2005019369 (Missouri)Secondary
207R00000XInternal Medicine 2005019369 (Missouri)Secondary
207W00000XOphthalmology 2005019369 (Missouri)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
St Louis University HospitalSaint louis, MOHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Ssm Health Care Group0143608372690
Jfj Eyecare Ltd822400986513
Jfj Eyecare Ltd822400986513

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. Sean Lewis Edelstein allows following entities to bill medicare on his behalf.
Entity NameJfj Eyecare Ltd
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1376586685
PECOS PAC ID: 8224009865
Enrollment ID: O20111026000149
Entity NameSsm Health Care Group
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI 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. Sean Lewis Edelstein 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 AddressPractice Location Address
Sean Lewis Edelstein, MD
1008 S Spring Ave,
Saint Louis, MO 63110-2520

Ph: (314) 977-4010
Sean Lewis Edelstein, MD
1225 S Grand Blvd,
Saint Louis, MO 63104-1016

Ph: (314) 977-5200

Reviews and Comments


Ophthalmology Doctors in Saint Louis, MO

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Dr. Nancy Buchser, MD
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Dr. Zachary D Seagrave, MD
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Dr. Siddharth Bhargava, MD
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Phone: 314-362-3937    Fax: 314-362-3725
Rajwant Mahal,
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Practice Location: 1 Barnes Jew Hosp Plz, Saint Louis, MO 63110
Phone: 559-978-6740    
Dr. Bruce Hagedorn Cohen, M.D.
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Medicare: Accepting Medicare Assignments
Practice Location: 4921 Parkview Pl, Ste 14f, Saint Louis, MO 63110
Phone: 314-361-5003    Fax: 314-361-2686

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.