Ms Lara Buck Antolik, SLP in Saint Louis, MO - Medicare Speech-Language Pathologist Provider

Ms Lara Buck Antolik, SLP is a medicare enrolled "Speech-language Pathologist" provider in Saint Louis, Missouri. Her current practice location is 4455 Duncan Ave, Dept Physical Therapy, Saint Louis, Missouri. You can reach out to her office (for appointments etc.) via phone at (314) 286-1940.

Ms Lara Buck Antolik is licensed to practice in Missouri (license number 2015033921) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1366073629.

Contact Information

	Ms Lara Buck Antolik, SLP
	4455 Duncan Ave, Dept Physical Therapy, Saint Louis, MO 63110-1111
	(314) 286-1940
	(314) 286-1473

Map and Direction

Healthcare Provider's Profile

Full Name	Ms Lara Buck Antolik
Gender	Female
Speciality	Speech-language Pathologist
Location	4455 Duncan Ave, Saint Louis, Missouri
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1366073629
Provider Enumeration Date: 01/27/2020
Last Update Date: 11/15/2021

Medicare PECOS Information:

PECOS PAC ID: 3173935459
Enrollment ID: I20201210000184

Medical Identifiers

Medical identifiers for Ms Lara Buck Antolik such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1366073629	NPI	-	NPPES
460090762	Medicaid	MO

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
235Z00000X	Speech-language Pathologist	2015033921 (Missouri)	Primary

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. Ms Lara Buck Antolik allows following entities to bill medicare on her behalf.

Provider Name	Washington University
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1922048420 PECOS PAC ID: 9830008770 Enrollment ID: O20040226000756

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. Ms Lara Buck Antolik 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 Address	Practice Location Address
Ms Lara Buck Antolik, SLP 4444 Forest Park Ave, Cb 8502, Saint Louis, MO 63108-2212 Ph: (314) 286-1940	Ms Lara Buck Antolik, SLP 4455 Duncan Ave, Dept Physical Therapy, Saint Louis, MO 63110-1111 Ph: (314) 286-1940

Reviews and Comments

Speech-Language Pathologist in Saint Louis, MO

Rebecca Annice Hoyt, M.S. CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 330 N Gore Ave, Saint Louis, MO 63119 Phone: 314-919-4700
Maureen Mersman, Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 12110 Clayton Rd, Saint Louis, MO 63131 Phone: 314-989-8150
Margaret Walkenhorst, Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 12110 Clayton Rd, Saint Louis, MO 63131 Phone: 314-989-8150
Ms. Maureen Elaine Neukirch, M.S. CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 1170 Timber Run Dr, Saint Louis, MO 63146 Phone: 314-469-0606 Fax: 314-469-3294
Rachel Kathleen Cardaci, Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 801 N 11th St, Saint Louis, MO 63101 Phone: 314-633-5300
Kristen Anne Ottenlips, MA CF-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 12110 Clayton Rd, Saint Louis, MO 63131 Phone: 314-989-8100
Mariglenn Golden Boggs, Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 12110 Clayton Rd, Saint Louis, MO 63131 Phone: 314-989-8100

Ms Lara Buck Antolik, SLP - Medicare Speech-Language Pathologist in Saint Louis, MO