| Mr Michael R Banton, MD | |
|
13100 Manchester Rd Ste 150, Saint Louis, MO 63131-1743 | |
| (314) 692-7886 | |
| (314) 692-7929 |
| Full Name | Mr Michael R Banton |
|---|---|
| Gender | Male |
| Speciality | Psychiatry & Neurology - Child & Adolescent Psychiatry |
| Location | 13100 Manchester Rd Ste 150, 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 |
|---|---|---|---|
| 1619984523 | NPI | - | NPPES |
| 1511221 | Other | MO | UNITED HEALTHCARE |
| 202842001 | Medicaid | MO | |
| 260012274 | Other | MO | CHAMPUS |
| 132484 | Other | MO | HEALTHLINK |
| 4222764 | Other | MO | AETNA |
| 23064 | Other | MO | BLUE SHEILD |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | R1J81 (Missouri) | Secondary |
| 2084P0804X | Psychiatry & Neurology - Child & Adolescent Psychiatry | R1J81 (Missouri) | Primary |
| Entity Name | Mercy Clinic Adult Hospitalists - St. Louis, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1841235108 PECOS PAC ID: 6002809944 Enrollment ID: O20040406001004 |
| Entity Name | Mercy Clinic Child And Adolescent Psychiatry Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1265562300 PECOS PAC ID: 7113981721 Enrollment ID: O20041115000078 |
| Entity Name | Psychiatric Center Of Creve Coeur, Ltd |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1881750214 PECOS PAC ID: 4981796992 Enrollment ID: O20070822001107 |
| Entity Name | Mercy Clinic Adult Hospitalists - Washington, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1891943429 PECOS PAC ID: 3577630540 Enrollment ID: O20080917000782 |
| Entity Name | St Anthonys Physician Organization Hospitalist Services Lc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1407216336 PECOS PAC ID: 5092980656 Enrollment ID: O20111208000771 |
| Entity Name | Mercy Clinic Adult Hospitalists Jefferson Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1083052492 PECOS PAC ID: 8628205598 Enrollment ID: O20131220001798 |
| Mailing Address | Practice Location Address |
|---|---|
| Mr Michael R Banton, MD 13100 Manchester Rd Ste 150, Saint Louis, MO 63131-1743 Ph: (314) 692-7886 | Mr Michael R Banton, MD 13100 Manchester Rd Ste 150, Saint Louis, MO 63131-1743 Ph: (314) 692-7886 |
Dr. Lauren Flynn, M.D. Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 231 W Lockwood Ave, Suite 202, Saint Louis, MO 63119 Phone: 314-737-4070 | |
Hannah Edelman, MD, PHD Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 1 Childrens Pl, Saint Louis, MO 63110 Phone: 314-454-6120 | |
Dr. Antonina S Gesmundo, MD Psychiatry & Neurology Medicare: Medicare Enrolled Practice Location: 1 Jefferson Barracks Dr, Saint Louis, MO 63125 Phone: 314-894-6636 | |
Mr. Robert Harry Brady, M.D. Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 1430 Olive St, Suite 500, Saint Louis, MO 63103 Phone: 314-206-3724 Fax: 314-206-3708 | |
Dr. Marcus E Raichle, MD Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 517 S Euclid Ave, Ground Floor, Saint Louis, MO 63110 Phone: 314-362-6907 Fax: 314-747-3258 | |
Rohit Pawar, M.D. Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 10018 Kennerly Rd, Saint Louis, MO 63128 Phone: 314-525-7275 Fax: 314-525-7260 | |
Dr. Rushaniya Albeptovna Khairova, MD Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 24 S Kingshighway Blvd, Saint Louis, MO 63108 Phone: 314-286-1700 Fax: 314-286-1730 |