Timothy James Pratt, MD - Medicare Internal Medicine in Fenton, MO

Timothy James Pratt, MD is a medicare enrolled "Internal Medicine" physician in Fenton, Missouri. He went to Tulane University School Of Medicine and graduated in 1983 and has 41 years of diverse experience with area of expertise as Internal Medicine. He is a member of the group practice Legacy Healthcare Services Inc and his current practice location is 1011 Bowles Avenue, Suite 121, Fenton, Missouri. You can reach out to his office (for appointments etc.) via phone at (314) 766-2066.

Timothy James Pratt is licensed to practice in Missouri (license number R9E55) and he also participates in the medicare program. He may accept medicare assignments (which means he may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance) and his NPI Number is 1104872068.

Contact Information

Timothy James Pratt, MD
1011 Bowles Avenue, Suite 121,
Fenton, MO 63026
(314) 766-2066
(636) 326-1802

Map and Direction




Physician's Profile

Full NameTimothy James Pratt
GenderMale
SpecialityInternal Medicine
Experience41 Years
Location1011 Bowles Avenue, Fenton, Missouri
Accepts Medicare AssignmentsMay be. He may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Timothy James Pratt attended and graduated from Tulane University School Of Medicine in 1983
  NPI Data:
  • NPI Number: 1104872068
  • Provider Enumeration Date: 05/25/2006
  • Last Update Date: 06/19/2024
  Medicare PECOS Information:
  • PECOS PAC ID: 6709789589
  • Enrollment ID: I20100831000873

Medical Identifiers

Medical identifiers for Timothy James Pratt such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1104872068NPI-NPPES
202477915MedicaidMO

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207R00000XInternal Medicine R9E55 (Missouri)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Ssm St Clare Health CenterFenton, 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. Timothy James Pratt allows following entities to bill medicare on his behalf.
Entity NameSsm Health Care St Louis
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI 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. Timothy James Pratt 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
Timothy James Pratt, MD
Po Box 220375,
Kirkwood, MO 63122-0375

Ph: (314) 766-2066
Timothy James Pratt, MD
1011 Bowles Avenue, Suite 121,
Fenton, MO 63026

Ph: (314) 766-2066

Reviews and Comments


Internal Medicine Doctors in Fenton, MO

Dr. Aman Kanti Patel, DO
Internal Medicine
Medicare: Medicare Enrolled
Practice Location: 1011 Bowles Ave Ste 300, Fenton, MO 63026
Phone: 636-496-5065    
Dr. Gregorius Resuma Penilla, M.D.
Internal Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 1345 Smizer Mill Rd Ste 1100, Fenton, MO 63026
Phone: 636-496-5040    
Dr. Stephanie Jean Becker-koepke, M.D.
Internal Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 1011 Bowles Ave Ste G50, Fenton, MO 63026
Phone: 636-496-4640    
Dr. Jeffrey J Hallazgo, M.D.
Internal Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 714 Gravois Rd, Suite 100, Fenton, MO 63026
Phone: 636-326-6100    Fax: 636-326-6110
Dr. Mansoor Ul Haq, M.D.
Internal Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 1011 Bowles Ave Ste G50, Fenton, MO 63026
Phone: 636-496-4640    
Dr. Abdul Rehman Rishi, M.D.
Internal Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 1345 Smizer Mill Rd Ste 1100, Fenton, MO 63026
Phone: 636-496-5022    

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.