| Washington University | |
|
114 N Taylor Ave Saint Louis MO 63108-2102 | |
| (314) 534-8600 | |
| Not Available |
| Full Name | Washington University |
|---|---|
| Speciality | Clinic/Center |
| Location | 114 N Taylor Ave, Saint Louis, Missouri |
| Authorized Official Name and Position | Cathy 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 7412037 Chicago IL 60674-2011 Ph: (314) 273-0770 | Washington University 114 N Taylor Ave Saint Louis MO 63108-2102 Ph: (314) 534-8600 |
| NPI Number | 1669405544 |
|---|---|
| Provider Enumeration Date | 07/07/2006 |
| Last Update Date | 04/29/2025 |
| Medicare PECOS PAC ID | 9830008770 |
|---|---|
| Medicare Enrollment ID | O20050303000774 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1669405544 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM1300X | Clinic/center - Multi-specialty | (* (Not Available)) | Primary |
| Provider Name | Michael Bavlsik |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1295752756 PECOS PAC ID: 1557339447 Enrollment ID: I20040920000005 |
| Provider Name | James G Avery |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1487671947 PECOS PAC ID: 6901874890 Enrollment ID: I20040920000010 |
| Provider Name | Emmanuel A Venkatesan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1730185745 PECOS PAC ID: 1153354402 Enrollment ID: I20050916000141 |
| Provider Name | Jonathan Nicholas Byrd |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1063707966 PECOS PAC ID: 6901034826 Enrollment ID: I20140521002269 |
| Provider Name | Angela Kay Roethemeyer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1164846648 PECOS PAC ID: 9537384227 Enrollment ID: I20140714002309 |
| Provider Name | Christine E Johnson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1225548225 PECOS PAC ID: 4183980964 Enrollment ID: I20171110001213 |
| Provider Name | Elaine Joyce Hutchison |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1992155030 PECOS PAC ID: 8628344694 Enrollment ID: I20190827001462 |
| Provider Name | Christina Lee Jemerson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1790495075 PECOS PAC ID: 6800266370 Enrollment ID: I20221227000270 |
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 |