| Washington University | |
|
660 S Euclid Ave Saint Louis MO 63110-1010 | |
| (314) 362-4964 | |
| (314) 747-4871 |
| Full Name | Washington University |
|---|---|
| Speciality | Clinic/Center |
| Location | 660 S Euclid Ave, Saint Louis, Missouri |
| Authorized Official Name and Position | Cathy L Eghigian (SENIOR DIRECTOR MANAGED CARE) |
| Authorized Official Contact | 3142730770 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Washington University Po Box 7412011 Chicago IL 60674-2011 Ph: (314) 273-0770 | Washington University 660 S Euclid Ave Saint Louis MO 63110-1010 Ph: (314) 362-4964 |
| NPI Number | 1487694337 |
|---|---|
| Provider Enumeration Date | 06/08/2006 |
| Last Update Date | 04/25/2025 |
| Medicare PECOS PAC ID | 9830008770 |
|---|---|
| Medicare Enrollment ID | O20040731000035 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1487694337 | NPI | - | NPPES |
| 13-09005 | Other | MO | UHC GROUP NUMBER |
| 0201537 | Other | MO | SPECIAL HEALTH CARE NEEDS |
| 673341 | Other | MO | AETNA HMO GROUP |
| 0255860002 | Other | MO | DME MEDICARE GROUP |
| 3857 | Other | MO | GHP MASTER VENDOR |
| 553061300 | Other | MO | MEDICAID PHARMACY NUMBER |
| 553061300 | Medicaid | MO | |
| 92215227 | Other | IL | BLUE SHIELD |
| 610916400 | Other | MO | DEPARTMENT OF LABOR |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM1300X | Clinic/center - Multi-specialty | (* (Not Available)) | Primary |
| Provider Name | Ida K Fox |
|---|---|
| Provider Type | Practitioner - Plastic And Reconstructive Surgery |
| Provider Identifiers | NPI Number: 1629099031 PECOS PAC ID: 9436259900 Enrollment ID: I20070712000606 |
| Provider Name | Marissa Morningstar J Tenenbaum |
|---|---|
| Provider Type | Practitioner - Plastic And Reconstructive Surgery |
| Provider Identifiers | NPI Number: 1124232236 PECOS PAC ID: 6608937560 Enrollment ID: I20081210000510 |
| Provider Name | Terence M Myckatyn |
|---|---|
| Provider Type | Practitioner - Plastic And Reconstructive Surgery |
| Provider Identifiers | NPI Number: 1598781718 PECOS PAC ID: 4880736297 Enrollment ID: I20100123000128 |
| Provider Name | Susan E Mackinnon |
|---|---|
| Provider Type | Practitioner - Plastic And Reconstructive Surgery |
| Provider Identifiers | NPI Number: 1811913130 PECOS PAC ID: 8325130461 Enrollment ID: I20100125000476 |
| Provider Name | Keith E Brandt |
|---|---|
| Provider Type | Practitioner - Plastic And Reconstructive Surgery |
| Provider Identifiers | NPI Number: 1386661916 PECOS PAC ID: 7517001746 Enrollment ID: I20100225000423 |
| Provider Name | Thomas H Tung |
|---|---|
| Provider Type | Practitioner - Plastic And Reconstructive Surgery |
| Provider Identifiers | NPI Number: 1851318398 PECOS PAC ID: 2860520848 Enrollment ID: I20100512000732 |
| Provider Name | Lorraine R Seiffert |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1487971537 PECOS PAC ID: 2062541220 Enrollment ID: I20100526000434 |
| Provider Name | Amy Kells |
|---|---|
| Provider Type | Practitioner - Plastic And Reconstructive Surgery |
| Provider Identifiers | NPI Number: 1912002148 PECOS PAC ID: 6103842075 Enrollment ID: I20110728000232 |
| Provider Name | Kamlesh B Patel |
|---|---|
| Provider Type | Practitioner - Plastic And Reconstructive Surgery |
| Provider Identifiers | NPI Number: 1790766186 PECOS PAC ID: 8224152806 Enrollment ID: I20110923000594 |
| Provider Name | Carrie L Roth Bettlach |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1609201557 PECOS PAC ID: 4688803091 Enrollment ID: I20140205001537 |
| Provider Name | Kelly F Hinman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1831636000 PECOS PAC ID: 9931478872 Enrollment ID: I20170707002230 |
| Provider Name | Kelly Bettina Currie |
|---|---|
| Provider Type | Practitioner - Plastic And Reconstructive Surgery |
| Provider Identifiers | NPI Number: 1518121094 PECOS PAC ID: 9234447723 Enrollment ID: I20170914002321 |
| Provider Name | Mitchell Andrew Pet |
|---|---|
| Provider Type | Practitioner - Plastic And Reconstructive Surgery |
| Provider Identifiers | NPI Number: 1134428758 PECOS PAC ID: 6507175064 Enrollment ID: I20180724002675 |
| Provider Name | Ashley Titchenal |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1609411784 PECOS PAC ID: 4880021369 Enrollment ID: I20200221001733 |
| Provider Name | Justin M Sacks |
|---|---|
| Provider Type | Practitioner - Plastic And Reconstructive Surgery |
| Provider Identifiers | NPI Number: 1497835946 PECOS PAC ID: 0648365247 Enrollment ID: I20200315000072 |
| Provider Name | Rachel Alexandria Anolik |
|---|---|
| Provider Type | Practitioner - Plastic And Reconstructive Surgery |
| Provider Identifiers | NPI Number: 1871836965 PECOS PAC ID: 4880851997 Enrollment ID: I20200825001917 |
| Provider Name | Lauren Ashley Bayens |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1700259074 PECOS PAC ID: 2365784402 Enrollment ID: I20210615000589 |
| Provider Name | Trina Ebersole |
|---|---|
| Provider Type | Practitioner - Plastic And Reconstructive Surgery |
| Provider Identifiers | NPI Number: 1902289762 PECOS PAC ID: 9436463619 Enrollment ID: I20221019002232 |
| Provider Name | Saifeddin Moh'd Ahmad Badran |
|---|---|
| Provider Type | Practitioner - Plastic And Reconstructive Surgery |
| Provider Identifiers | NPI Number: 1437877032 PECOS PAC ID: 4688033194 Enrollment ID: I20230630002167 |
| Provider Name | Neha Datta |
|---|---|
| Provider Type | Practitioner - Plastic And Reconstructive Surgery |
| Provider Identifiers | NPI Number: 1346506995 PECOS PAC ID: 5496007684 Enrollment ID: I20230830003653 |
| Provider Name | Gina Ann Belfiore |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1053870840 PECOS PAC ID: 0345676979 Enrollment ID: I20240423000576 |
| Provider Name | Megan Pencek |
|---|---|
| Provider Type | Practitioner - Plastic And Reconstructive Surgery |
| Provider Identifiers | NPI Number: 1518492651 PECOS PAC ID: 6305181637 Enrollment ID: I20240605001469 |
| Provider Name | Amber Rachel Leis |
|---|---|
| Provider Type | Practitioner - Plastic And Reconstructive Surgery |
| Provider Identifiers | NPI Number: 1649442328 PECOS PAC ID: 6002123379 Enrollment ID: I20250325003874 |
St. Louis Center For Preventive And Longevity Medicine, Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 777 S New Ballas Rd, Suite 200 E, Saint Louis, MO 63141 Phone: 314-994-1536 Fax: 314-692-0241 | |
Town And Country Primary Care Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 3009 N Ballas Rd, Suite 300a, Saint Louis, MO 63131 Phone: 314-872-8999 | |
Family Care Health Centers Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1001 Lynch St, Saint Louis, MO 63118 Phone: 314-531-5444 Fax: 314-531-0063 | |
Wusm Bjc Aco Providers Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 660 S Euclid Ave, Campus Box 8081, Saint Louis, MO 63110 Phone: 314-273-0770 | |
Victus Physician Services, Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 12607 Olive Blvd, Saint Louis, MO 63141 Phone: 314-327-8070 | |
Affinia Healthcare Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 2900 Washington Ave, Saint Louis, MO 63103 Phone: 314-898-1700 Fax: 314-814-8542 | |
Dtg Ii Pllc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 3819 Tesson Ct, Saint Louis, MO 63123 Phone: 800-268-7713 Fax: 415-704-3294 |