| Dr Maithilee Denise Menezes, MD | |
| 
					1 Childrens Pl, Dept Otolaryngology, Ste 3s, Saint Louis, MO 63110-1002  | |
| (314) 454-6162 | |
| (314) 454-2174 | 
| Full Name | Dr Maithilee Denise Menezes | 
|---|---|
| Gender | Female | 
| Speciality | Otolaryngology - Pediatric Otolaryngology | 
| Location | 1 Childrens Pl, Saint Louis, Missouri | 
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1730398124 | NPI | - | NPPES | 
| 204441703 | Medicaid | MO | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 207YP0228X | Otolaryngology - Pediatric Otolaryngology | 2012023213 (Missouri) | Primary | 
| Entity Name | Washington University | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1356381842 PECOS PAC ID: 9830008770 Enrollment ID: O20041013000030  | 
| Mailing Address | Practice Location Address | 
|---|---|
| Dr Maithilee Denise Menezes, MD Po Box 7412011, Chicago, IL 60674-2011 Ph: (314) 454-6162  | Dr Maithilee Denise Menezes, MD 1 Childrens Pl, Dept Otolaryngology, Ste 3s, Saint Louis, MO 63110-1002 Ph: (314) 454-6162  | 
Mark F Stroble, M.D. Otolaryngology Medicare: Not Enrolled in Medicare Practice Location: 12399 Gravois Rd, Ste 120, Saint Louis, MO 63127 Phone: 314-843-3828 Fax: 314-843-3052  | |
Arya W Namin, MD Otolaryngology Medicare: Accepting Medicare Assignments Practice Location: 607 S New Ballas Rd Ste 2300, Saint Louis, MO 63141 Phone: 314-251-6394 Fax: 314-251-4235  | |
Dr. Ethan Craig, MD Otolaryngology Medicare: Medicare Enrolled Practice Location: 607 S New Ballas Rd Ste 2300, Saint Louis, MO 63141 Phone: 314-251-6394  | |
Dr. Richard A Chole, MD Otolaryngology Medicare: Not Enrolled in Medicare Practice Location: 1 Childrens Pl Ste 3s, Ste 3s, Saint Louis, MO 63110 Phone: 314-454-6162 Fax: 314-454-2174  | |
Dr. Timothy J Reichert, MD Otolaryngology Medicare: Not Enrolled in Medicare Practice Location: 621 S New Ballas Rd, Suite 622a, Saint Louis, MO 63141 Phone: 314-872-8340 Fax: 314-872-8399  | |
Ricky Chae, MD Otolaryngology Medicare: Not Enrolled in Medicare Practice Location: 1 Barnes Jewish Hospital Plz, Saint Louis, MO 63110 Phone: 314-362-5000  | |
Dr. Matthew Lee Rohlfing, MD Otolaryngology Medicare: Accepting Medicare Assignments Practice Location: 4921 Parkview Pl, Dept Otolaryngology, Ste 11a, Saint Louis, MO 63110 Phone: 314-362-7509 Fax: 314-362-7522  |