| Dr Stephanie A Otis, MD | |
|
621 S New Ballas Rd, Suite 63b, Saint Louis, MO 63141-8232 | |
| (314) 983-4700 | |
| (314) 692-9862 |
| Full Name | Dr Stephanie A Otis |
|---|---|
| Gender | Female |
| Speciality | Orthopaedic Surgery - Pediatric Orthopaedic Surgery |
| Location | 621 S New Ballas Rd, Saint Louis, Missouri |
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1841226487 | NPI | - | NPPES |
| 0900169 | Other | MO | UNITED HEALTHCARE |
| 256445 | Other | MO | HEALTHLINK |
| 207688508 | Medicaid | MO | |
| 83380V3223 | Other | MO | GROUP HEALTHPLAN |
| 200030003 | Other | MO | RAILROAD MEDICARE |
| 4534390 | Other | MO | AETNA |
| 1598506001 | Other | MO | CIGNA |
| 24774 | Other | MO | BLUE CROSS BLUE SHIELD |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207X00000X | Orthopaedic Surgery | 106730 (Missouri) | Secondary |
| 207XP3100X | Orthopaedic Surgery - Pediatric Orthopaedic Surgery | 106730 (Missouri) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Stephanie A Otis, MD 12639 Old Tesson Rd, Suite 115, Saint Louis, MO 63128-2786 Ph: (314) 849-0311 | Dr Stephanie A Otis, MD 621 S New Ballas Rd, Suite 63b, Saint Louis, MO 63141-8232 Ph: (314) 983-4700 |
Nathan M Fisher, D.O. Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 12639 Old Tesson Rd Ste 115, Saint Louis, MO 63128 Phone: 314-849-0311 Fax: 314-849-4423 | |
Dr. Wassim Mourad, MD, MHCM Orthopedic Surgery Medicare: Medicare Enrolled Practice Location: 1008 S Spring Ave Rm 1114, Saint Louis, MO 63110 Phone: 314-977-4102 | |
Dr. David William Barton, MD Orthopedic Surgery Medicare: Medicare Enrolled Practice Location: 4921 Parkview Pl, Dept Orthopaedic Surgery, Ste 6a/6b/12a, Saint Louis, MO 63110 Phone: 314-747-2551 Fax: 314-747-2598 | |
Dr. Moneer Moustafa Abouljoud, MD Orthopedic Surgery Medicare: Not Enrolled in Medicare Practice Location: 1 Barnes Jewish Hospital Plz, Saint Louis, MO 63110 Phone: 314-747-2835 | |
Dr. Brian Adams Kelly, MD Orthopedic Surgery Medicare: Medicare Enrolled Practice Location: 4921 Parkview Pl, Dept Orthopaedic Surgery, Ste 6a/6b/12a, Saint Louis, MO 63110 Phone: 314-747-2551 Fax: 314-747-2598 | |
Thomas John Revak, DO Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 1008 South Spring Avenue, Orthopaedic Surgery, Slucare Administrative Pavillion F, Saint Louis, MO 63110 Phone: 314-977-5350 | |
Dr. Nicholas Andrew Pallotta, MD Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 4921 Parkview Pl, Dept Orthopaedic Surgery, Ste 6a/6b/12a, Saint Louis, MO 63110 Phone: 314-747-2551 Fax: 314-747-2598 |