Tatyana Petrosova, MD - Medicare Nephrology in Saint Louis, MO

Tatyana Petrosova, MD is a medicare enrolled "Internal Medicine - Nephrology" physician in Saint Louis, Missouri. She graduated from medical school in 1988 and has 36 years of diverse experience with area of expertise as Nephrology. Her current practice location is 10420 Old Olive Street Rd Ste 305, Saint Louis, Missouri. You can reach out to her office (for appointments etc.) via phone at (314) 797-7074.

Tatyana Petrosova is licensed to practice in Missouri (license number 2002007108) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1023089562.

Contact Information

Tatyana Petrosova, MD
10420 Old Olive Street Rd Ste 305,
Saint Louis, MO 63141-5914
(314) 797-7074
(314) 227-5505

Map and Direction




Physician's Profile

Full NameTatyana Petrosova
GenderFemale
SpecialityNephrology
Experience36 Years
Location10420 Old Olive Street Rd Ste 305, Saint Louis, Missouri
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Tatyana Petrosova graduated from medical school in 1988
  NPI Data:
  • NPI Number: 1023089562
  • Provider Enumeration Date: 02/01/2006
  • Last Update Date: 06/09/2024
  Medicare PECOS Information:
  • PECOS PAC ID: 1052397874
  • Enrollment ID: I20100130000058

Medical Identifiers

Medical identifiers for Tatyana Petrosova such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1023089562NPI-NPPES
207235706MedicaidMO

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207RN0300XInternal Medicine - Nephrology 2002007108 (Missouri)Primary
207RN0300XInternal Medicine - Nephrology 036107203 (Illinois)Secondary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Lake St Louis At HomeLake saint louis, MODialysis facility
Lake St Louis DialysisLake saint louis, MODialysis facility
Ssm Depaul Health CenterBridgeton, MOHospital
Ssm St Joseph Hospital WestLake saint louis, MOHospital
Ssm St Joseph Health CenterSaint charles, MOHospital
Barnes-jewish St Peters HospitalSaint peters, MOHospital
Progress West HospitalO fallon, MOHospital

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. Tatyana Petrosova allows following entities to bill medicare on her behalf.
Entity NameTatyana Petrosova Md Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1700026515
PECOS PAC ID: 4082757034
Enrollment ID: O20100130000071

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. Tatyana Petrosova 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
Tatyana Petrosova, MD
Po Box 653,
Chesterfield, MO 63006-0653

Ph: (314) 797-7074
Tatyana Petrosova, MD
10420 Old Olive Street Rd Ste 305,
Saint Louis, MO 63141-5914

Ph: (314) 797-7074

Reviews and Comments


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Phone: 314-362-5060    Fax: 314-362-6959

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.