| Anthony A Mikulec, MD | |
|
1225 S. Grand, Door 3, St. Louis, MO 63104 | |
| (314) 977-5110 | |
| (314) 977-7686 |
| Full Name | Anthony A Mikulec |
|---|---|
| Gender | Male |
| Speciality | Otolaryngology |
| Experience | 29 Years |
| Location | 1225 S. Grand, St. 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 |
|---|---|---|---|
| 1104843176 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Y00000X | Otolaryngology | 2004011779 (Missouri) | Secondary |
| 207YX0901X | Otolaryngology - Otology & Neurotology | 2004011779 (Missouri) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| St Louis University Hospital | Saint louis, MO | Hospital |
| Ssm St Clare Health Center | Fenton, MO | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Ssm Health Care Group | 0143608372 | 802 |
| Entity Name | Mercy Hospitals East Communities |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1851431738 PECOS PAC ID: 1658276811 Enrollment ID: O20031218000107 |
| Entity Name | Ssm Health Care Group |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1306589544 PECOS PAC ID: 0143608372 Enrollment ID: O20220531002655 |
| Mailing Address | Practice Location Address |
|---|---|
| Anthony A Mikulec, MD 3691 Rutger Ave, Provider Enrollment, St Louis, MO 63110 Ph: (314) 977-4440 | Anthony A Mikulec, MD 1225 S. Grand, Door 3, St. Louis, MO 63104 Ph: (314) 977-5110 |
Collin Chen, M.D. Otolaryngology Medicare: Accepting Medicare Assignments Practice Location: 1225 S. Grand, Door 3, St. Louis, MO 63104 Phone: 314-977-5110 | |
Dr. Anthony Joseph D'angelo Jr., D.O. Otolaryngology Medicare: Not Enrolled in Medicare Practice Location: 2315 Dougherty Ferry Road, Suite 103, St. Louis, MO 63122 Phone: 314-821-5002 | |
Dr. Joseph David Brunworth, M.D. Otolaryngology Medicare: Accepting Medicare Assignments Practice Location: 1225 S. Grand, Door 3, St. Louis, MO 63104 Phone: 314-977-5110 Fax: 314-977-7686 | |
Mr. Joshua M Sappington, M.D. Otolaryngology Medicare: Accepting Medicare Assignments Practice Location: 1225 S. Grand, Door 3, St. Louis, MO 63104 Phone: 314-977-5110 Fax: 314-977-7686 | |
Dr. Jeffrey D Sharon, MD Otolaryngology Medicare: Accepting Medicare Assignments Practice Location: 660 South Euclid Avenue, Campus Box 8115, St. Louis, MO 63110 Phone: 314-747-0553 Fax: 314-362-7522 | |
Thomas R Sanford, MD Otolaryngology Medicare: Accepting Medicare Assignments Practice Location: 1225 S. Grand, Door 3, St. Louis, MO 63104 Phone: 314-977-5110 Fax: 314-977-7686 |