Mr Michael R Banton, MD | |
13100 Manchester Rd Ste 150, Saint Louis, MO 63131-1743 | |
(314) 692-7886 | |
(314) 692-7929 |
Full Name | Mr Michael R Banton |
---|---|
Gender | Male |
Speciality | Psychiatry |
Experience | 39 Years |
Location | 13100 Manchester Rd Ste 150, Saint Louis, Missouri |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1619984523 | NPI | - | NPPES |
1511221 | Other | MO | UNITED HEALTHCARE |
202842001 | Medicaid | MO | |
260012274 | Other | MO | CHAMPUS |
132484 | Other | MO | HEALTHLINK |
4222764 | Other | MO | AETNA |
23064 | Other | MO | BLUE SHEILD |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2084P0800X | Psychiatry & Neurology - Psychiatry | R1J81 (Missouri) | Secondary |
2084P0804X | Psychiatry & Neurology - Child & Adolescent Psychiatry | R1J81 (Missouri) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Psychiatric Center Of Creve Coeur, Ltd | 4981796992 | 2 |
St Anthonys Physician Organization Hospitalist Services Lc | 5092980656 | 104 |
Entity Name | Mercy Clinic Adult Hospitalists - St. Louis, Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1841235108 PECOS PAC ID: 6002809944 Enrollment ID: O20040406001004 |
Entity Name | Mercy Clinic Child And Adolescent Psychiatry Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1265562300 PECOS PAC ID: 7113981721 Enrollment ID: O20041115000078 |
Entity Name | Psychiatric Center Of Creve Coeur, Ltd |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1881750214 PECOS PAC ID: 4981796992 Enrollment ID: O20070822001107 |
Entity Name | Mercy Clinic Adult Hospitalists - Washington, Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1891943429 PECOS PAC ID: 3577630540 Enrollment ID: O20080917000782 |
Entity Name | St Anthonys Physician Organization Hospitalist Services Lc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1407216336 PECOS PAC ID: 5092980656 Enrollment ID: O20111208000771 |
Entity Name | Mercy Clinic Adult Hospitalists Jefferson Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1083052492 PECOS PAC ID: 8628205598 Enrollment ID: O20131220001798 |
Mailing Address | Practice Location Address |
---|---|
Mr Michael R Banton, MD 13100 Manchester Rd Ste 150, Saint Louis, MO 63131-1743 Ph: (314) 692-7886 | Mr Michael R Banton, MD 13100 Manchester Rd Ste 150, Saint Louis, MO 63131-1743 Ph: (314) 692-7886 |
Dr. Lauren Flynn, M.D. Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 231 W Lockwood Ave, Suite 202, Saint Louis, MO 63119 Phone: 314-737-4070 | |
Dr. Antonina S Gesmundo, MD Psychiatry & Neurology Medicare: Medicare Enrolled Practice Location: 1 Jefferson Barracks Dr, Saint Louis, MO 63125 Phone: 314-894-6636 | |
Mr. Robert Harry Brady, M.D. Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 1430 Olive St, Suite 500, Saint Louis, MO 63103 Phone: 314-206-3724 Fax: 314-206-3708 | |
Dr. Marcus E Raichle, MD Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 517 S Euclid Ave, Ground Floor, Saint Louis, MO 63110 Phone: 314-362-6907 Fax: 314-747-3258 | |
Rohit Pawar, M.D. Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 10018 Kennerly Rd, Saint Louis, MO 63128 Phone: 314-525-7275 Fax: 314-525-7260 | |
Dr. Rushaniya Albeptovna Khairova, MD Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 24 S Kingshighway Blvd, Saint Louis, MO 63108 Phone: 314-286-1700 Fax: 314-286-1730 | |
Dr. Alyssa E Smith, MD Psychiatry & Neurology Medicare: Medicare Enrolled Practice Location: 1 Childrens Pl, Div Neurology Pediatrics, Saint Louis, MO 63110 Phone: 314-362-1408 Fax: 314-454-2523 |