| Dr Ricky Stuart Mofsen, DO | |
|
3535 S Jefferson Ave, Suite 104, Saint Louis, MO 63118-3930 | |
| (314) 776-7999 | |
| (314) 772-2257 |
| Full Name | Dr Ricky Stuart Mofsen |
|---|---|
| Gender | Male |
| Speciality | Psychiatry & Neurology - Psychiatry |
| Location | 3535 S Jefferson Ave, 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 |
|---|---|---|---|
| 1306921812 | NPI | - | NPPES |
| 14488 | Other | MO | BNDD NUMBER |
| R7J70 | Other | MO | STATE LICENSE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | R7J70 (Missouri) | Primary |
| Entity Name | Clinical Research Associates Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1063632826 PECOS PAC ID: 5597662080 Enrollment ID: O20040910000261 |
| Entity Name | Mark Twain Association For Mental Health Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1700933363 PECOS PAC ID: 9436376969 Enrollment ID: O20140807000426 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Ricky Stuart Mofsen, DO Po Box 4252, Chesterfield, MO 63006-4252 Ph: (314) 776-7999 | Dr Ricky Stuart Mofsen, DO 3535 S Jefferson Ave, Suite 104, Saint Louis, MO 63118-3930 Ph: (314) 776-7999 |
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 |