Dr Dipika Menon, MD | |
1465 S Grand Blvd, Division Of Pediatric Cardiology, St Louis, MO 63104 | |
(314) 577-5633 | |
(314) 268-4141 |
Full Name | Dr Dipika Menon |
---|---|
Gender | Female |
Speciality | Cardiovascular Disease (cardiology) |
Experience | 11 Years |
Location | 1465 S Grand Blvd, St Louis, Missouri |
Accepts Medicare Assignments | May be. She may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1629483094 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208000000X | Pediatrics | 57.024073 (Ohio) | Secondary |
2080P0202X | Pediatrics - Pediatric Cardiology | MD470052 (Pennsylvania) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Ssm Health Care Group | 0143608372 | 690 |
Entity Name | Ssm Health Care Group |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1306589544 PECOS PAC ID: 0143608372 Enrollment ID: O20220531002655 |
Mailing Address | Practice Location Address |
---|---|
Dr Dipika Menon, MD 10 Park Row W Apt 331, Providence, RI 02903-1172 Ph: (248) 631-6672 | Dr Dipika Menon, MD 1465 S Grand Blvd, Division Of Pediatric Cardiology, St Louis, MO 63104 Ph: (314) 577-5633 |
Dr. Rafael Gutierrez, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 1 Childrens Pl Msc 8116-0043-08, St Louis, MO 63110 Phone: 314-454-4826 Fax: 314-454-4633 | |
Mrs. Bonita M Wolff, RN CPNP Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 1465 S Grant Blvd, Cardinal Glennon Childrens Medical Center, St Louis, MO 63104 Phone: 314-577-5648 Fax: 314-268-6448 | |
Danielle St Leger, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 802 N Kingshighway, St Louis, MO 63108 Phone: 314-367-4428 Fax: 314-367-4429 | |
Amy Elizabeth Thomas, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 1465 South Grand 6644, St Louis, MO 63104 Phone: 314-577-5369 | |
Dr. Daniel Raphael Levinson, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 1 Children's Place, St Louis, MO 63110 Phone: 314-454-6173 Fax: 314-454-2412 | |
Emily Lynn Riley, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 1 Childrens Pl Msc 8116-0043-08, St Louis, MO 63110 Phone: 314-454-6095 Fax: 314-454-2561 |