| Mr Blair Anthony Malench, PA | |
|
3015 N Ballas Rd, Saint Louis, MO 63131-2329 | |
| (314) 996-5225 | |
| (314) 991-0943 |
| Full Name | Mr Blair Anthony Malench |
|---|---|
| Gender | Male |
| Speciality | Physician Assistant |
| Experience | 14 Years |
| Location | 3015 N Ballas Rd, Saint 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 |
|---|---|---|---|
| 1013271956 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | 2012032511 (Missouri) | Secondary |
| 363A00000X | Physician Assistant | 085.004418 (Illinois) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Ssm Health St Joseph Hospital-st Charles | Saint charles, MO | Hospital |
| Ssm Health St Joseph Hospital-lake Saint Louis | Lake saint louis, MO | Hospital |
| Ssm Health St Clare Hospital - Fenton | Fenton, MO | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Ssm Medical Group Inc | 6608776299 | 565 |
| Entity Name | SSM Health Care St Louis |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1275586174 PECOS PAC ID: 7810800737 Enrollment ID: O20031118000393 |
| Entity Name | SSM Medical Group Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1700966207 PECOS PAC ID: 6608776299 Enrollment ID: O20040729001034 |
| Entity Name | Southeastern Emergency Services of Memphis PC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1164454450 PECOS PAC ID: 8921912767 Enrollment ID: O20080108000151 |
| Entity Name | Cep America LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1619332046 PECOS PAC ID: 6608056171 Enrollment ID: O20150312000325 |
| Mailing Address | Practice Location Address |
|---|---|
| Mr Blair Anthony Malench, PA 660 S Euclid Ave, Cb 8072, Saint Louis, MO 63110-1010 Ph: (314) 996-5225 | Mr Blair Anthony Malench, PA 3015 N Ballas Rd, Saint Louis, MO 63131-2329 Ph: (314) 996-5225 |
Bryon Lucas Beck, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 3009 N Ballas Rd, Building B, Suite 202, Saint Louis, MO 63131 Phone: 314-995-6893 |
Ms. Cheryl Anne Woolsey, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 1 Barnes Jewish Hospital Plz, Div Im Medical Oncology, Saint Louis, MO 63110 Phone: 314-747-1171 Fax: 314-362-7086 |
Amanda Monteleone, P.A. Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 621 S New Ballas Rd Ste 2015, Saint Louis, MO 63141 Phone: 314-251-1700 |
Taylor Nicole Melgar, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 1 Jefferson Barracks Dr, Saint Louis, MO 63125 Phone: 314-652-4100 |
Kaitlyn Sturmer, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 10012 Kennerly Rd Ste 406, Saint Louis, MO 63128 Phone: 314-525-1224 Fax: 314-525-4957 |
Ms. Keeley Ferrell Ryan, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 1201 S Grand Blvd, Saint Louis, MO 63104 Phone: 314-257-1320 |
Mr. Leslie Tharon Cranick, P.A. Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 12345 W Bend Dr, Suite 200, Saint Louis, MO 63128 Phone: 314-843-8000 Fax: 314-843-3004 |