Dr Helen M Pappa, MD - Medicare Gastroenterology in St. Louis, MO

Dr Helen M Pappa, MD is a medicare enrolled "Pediatrics - Pediatric Gastroenterology" physician in St. Louis, Missouri. She graduated from medical school in 1988 and has 36 years of diverse experience with area of expertise as Gastroenterology. She is a member of the group practice Ssm Health Care Group and her current practice location is 1465 S Grand Blvd, St. Louis, Missouri. You can reach out to her office (for appointments etc.) via phone at (314) 268-4070.

Dr Helen M Pappa is licensed to practice in Missouri (license number 108729) 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 1134138993.

Contact Information

Dr Helen M Pappa, MD
1465 S Grand Blvd,
St. Louis, MO 63104-1003
(314) 268-4070
(314) 268-4021

Map and Direction




Physician's Profile

Full NameDr Helen M Pappa
GenderFemale
SpecialityGastroenterology
Experience36 Years
Location1465 S Grand Blvd, St. 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:
  • Dr Helen M Pappa graduated from medical school in 1988
  NPI Data:
  • NPI Number: 1134138993
  • Provider Enumeration Date: 08/07/2006
  • Last Update Date: 01/18/2021
  Medicare PECOS Information:
  • PECOS PAC ID: 6002091311
  • Enrollment ID: I20140326002378

Medical Identifiers

Medical identifiers for Dr Helen M Pappa such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1134138993NPI-NPPES
0138461MedicaidMA

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
208000000XPediatrics 108729 (Missouri)Secondary
2080P0206XPediatrics - Pediatric Gastroenterology 108729 (Missouri)Primary

Group Practice Association

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

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. Dr Helen M Pappa allows following entities to bill medicare on her behalf.
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. Dr Helen M Pappa 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
Dr Helen M Pappa, MD
1465 S Grand Blvd,
Saint Louis, MO 63104-1003

Ph: (314) 268-4070
Dr Helen M Pappa, MD
1465 S Grand Blvd,
St. Louis, MO 63104-1003

Ph: (314) 268-4070

Reviews and Comments


Pediatrics Doctors in St. Louis, MO

Patrick Francis Durkin, MD
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Donna R Halloran, MD
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Practice Location: 1465 S Grand Blvd, St. Louis, MO 63104
Phone: 314-268-4101    Fax: 314-577-5379
Shulamit Menashe Portnoy, MD
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Practice Location: 1465 S Grand Blvd, St. Louis, MO 63104
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Felicia L. Harvey, MD
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Phone: 314-838-8220    Fax: 314-838-8091
Mary S Heaney, MD
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Practice Location: 1465 S Grand Blvd, St. Louis, MO 63104
Phone: 314-268-4101    Fax: 314-577-5379
Dr. Kristen M Mennemeier, M.D.
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Medicare: Not Enrolled in Medicare
Practice Location: 3009 N. Ballas Rd., Suite 257c, St. Louis, MO 63131
Phone: 314-569-2112    Fax: 314-569-1270
Lauren Marie Hayes, M.D.
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Medicare: Not Enrolled in Medicare
Practice Location: 1465 South Grand Boulevard, Room 1204, Ssm Cardinal Glennon Children's Medical Center, St. Louis, MO 63104
Phone: 314-577-5600    Fax: 314-577-5616

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.