Ms Lonnie Polkow Moch, FNP - Medicare Nurse Practitioner in Saint Louis, MO

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Ms Lonnie Polkow Moch, FNP is a medicare enrolled "Nurse Practitioner" in Saint Louis, Missouri. She graduated from nursing school in 2013 and has 11 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Ssm Medical Group Inc, Washington University and her current practice location is 400 S Kingshighway Blvd, Dept Emergency Med, Saint Louis, Missouri. You can reach out to her office (for appointments etc.) via phone at (314) 362-9123.

Ms Lonnie Polkow Moch is licensed to practice in Missouri (license number 2016025279) 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 1760815013.

Contact Information

Ms Lonnie Polkow Moch, FNP
400 S Kingshighway Blvd, Dept Emergency Med,
Saint Louis, MO 63110-1014
(314) 362-9123
(314) 747-3338

Map and Direction




Provider's Profile

Full NameMs Lonnie Polkow Moch
GenderFemale
SpecialityNurse Practitioner
Experience11 Years
Location400 S Kingshighway Blvd, 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:
  • Ms Lonnie Polkow Moch graduated from nursing school in 2013
  NPI Data:
  • NPI Number: 1760815013
  • Provider Enumeration Date: 08/09/2013
  • Last Update Date: 04/25/2024
  Medicare PECOS Information:
  • PECOS PAC ID: 1951537851
  • Enrollment ID: I20161101002754

Medical Identifiers

Medical identifiers for Ms Lonnie Polkow Moch such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1760815013NPI-NPPES
420039036MedicaidMO

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363L00000XNurse Practitioner 2016025279 (Missouri)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Ssm St Joseph Hospital WestLake saint louis, MOHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Ssm Medical Group Inc6608776299496
Washington University98300087702516

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. Ms Lonnie Polkow Moch allows following entities to bill medicare on her 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
Entity NameWashington University
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1104866656
PECOS PAC ID: 9830008770
Enrollment ID: O20040205000494
Entity NameSsm Medical Group Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1700966207
PECOS PAC ID: 6608776299
Enrollment ID: O20040729001034
Entity NameLake Forest Emergency Group Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1023261716
PECOS PAC ID: 1759441884
Enrollment ID: O20081119000794
Entity NameBridgeton Emergency Group Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1053660076
PECOS PAC ID: 5193978948
Enrollment ID: O20130104000140
Entity NameCep America Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1619332046
PECOS PAC ID: 6608056171
Enrollment ID: O20150312000325

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. Ms Lonnie Polkow Moch 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
Ms Lonnie Polkow Moch, FNP
Po Box 60352,
Saint Louis, MO 63160-0352

Ph: (314) 362-9123		Ms Lonnie Polkow Moch, FNP
400 S Kingshighway Blvd, Dept Emergency Med,
Saint Louis, MO 63110-1014

Ph: (314) 362-9123

Reviews and Comments


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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.