| Washington University, Department Of Pediatric Surgery | |
|
660 S Euclid Ave Saint Louis MO 63110-1010 | |
| (314) 362-4964 | |
| (314) 747-4871 |
| Full Name | Washington University, Department Of Pediatric Surgery |
|---|---|
| Speciality | Clinic/Center |
| Location | 660 S Euclid Ave, Saint Louis, Missouri |
| Authorized Official Name and Position | Cathy L Eghigian (DIRECTOR, CREDENTIALING OPERATIONS) |
| Authorized Official Contact | 3142730770 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Washington University, Department Of Pediatric Surgery 4240 Duncan Ave Suite 301 Saint Louis MO 63110-1123 Ph: (314) 273-0770 | Washington University, Department Of Pediatric Surgery 660 S Euclid Ave Saint Louis MO 63110-1010 Ph: (314) 362-4964 |
| NPI Number | 1427098938 |
|---|---|
| Provider Enumeration Date | 06/07/2006 |
| Last Update Date | 03/26/2015 |
| Medicare PECOS PAC ID | 9830008770 |
|---|---|
| Medicare Enrollment ID | O20041207000719 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1427098938 | NPI | - | NPPES |
| 17-09037 | Other | MO | UHC GROUP NUMBER |
| 610916400 | Other | MO | DEPARTMENT OF LABOR |
| 673341 | Other | MO | AETNA HMO GROUP |
| 92215227 | Other | IL | BLUE SHIELD |
| 377 | Other | MO | GHP MASTER VENDOR |
| 6112358 | Other | MO | SPECIAL HEALTH CARE NEEDS |
| 553061201 | Medicaid | MO |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM1300X | Clinic/center - Multi-specialty | (* (Not Available)) | Primary |
| Provider Name | Jennifer L Seigel |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1962525808 PECOS PAC ID: 5991803017 Enrollment ID: I20070613000031 |
| Provider Name | Brad W Warner |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1437239340 PECOS PAC ID: 6901998848 Enrollment ID: I20070822001468 |
| Provider Name | Jacqueline Saito |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1750306056 PECOS PAC ID: 2668533530 Enrollment ID: I20081210000566 |
| Provider Name | Barbara A Champion |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1346411212 PECOS PAC ID: 6406908805 Enrollment ID: I20090716000074 |
| Provider Name | Carrie M Wilson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1356326482 PECOS PAC ID: 4587716790 Enrollment ID: I20090720000315 |
| Provider Name | Robyn A Myers |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1447580527 PECOS PAC ID: 3678600558 Enrollment ID: I20100423000925 |
| Provider Name | Patrick A Dillon |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1649296948 PECOS PAC ID: 6608909353 Enrollment ID: I20100802000060 |
| Provider Name | Julie T Berninger |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1629375886 PECOS PAC ID: 6305029299 Enrollment ID: I20110330000993 |
| Provider Name | Elizabeth B Hartbeck |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1891093050 PECOS PAC ID: 9436336104 Enrollment ID: I20110606000486 |
| Provider Name | Glenna M Hare |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1669771010 PECOS PAC ID: 9032396718 Enrollment ID: I20110606000638 |
| Provider Name | Jesse Vrecenak |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1710185392 PECOS PAC ID: 7416229943 Enrollment ID: I20170818000108 |
| Provider Name | Baddr Shakhsheer |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1285865527 PECOS PAC ID: 1557664653 Enrollment ID: I20190730000449 |
| Provider Name | Andrew Yeh |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1235491663 PECOS PAC ID: 3577943653 Enrollment ID: I20220707000413 |
| Provider Name | Colin Alex Martin |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1881897726 PECOS PAC ID: 1355506601 Enrollment ID: I20231219000241 |
St. Louis Center For Preventive And Longevity Medicine, Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 777 S New Ballas Rd, Suite 200 E, Saint Louis, MO 63141 Phone: 314-994-1536 Fax: 314-692-0241 | |
Town And Country Primary Care Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 3009 N Ballas Rd, Suite 300a, Saint Louis, MO 63131 Phone: 314-872-8999 | |
Family Care Health Centers Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1001 Lynch St, Saint Louis, MO 63118 Phone: 314-531-5444 Fax: 314-531-0063 | |
Wusm Bjc Aco Providers Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 660 S Euclid Ave, Campus Box 8081, Saint Louis, MO 63110 Phone: 314-273-0770 | |
Victus Physician Services, Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 12607 Olive Blvd, Saint Louis, MO 63141 Phone: 314-327-8070 | |
Salvation Army Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 2900 Washington Ave, Saint Louis, MO 63103 Phone: 314-898-1700 Fax: 314-814-8542 | |
Dtg Ii Pllc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 3819 Tesson Ct, Saint Louis, MO 63123 Phone: 800-268-7713 Fax: 415-704-3294 |