Mr Jastin L Antisdel, MD - Medicare Otolaryngology in Saint Louis, MO

Mr Jastin L Antisdel, MD is a medicare enrolled "Otolaryngology" physician in Saint Louis, Missouri. He went to Saint Louis University School Of Medicine and graduated in 2004 and has 20 years of diverse experience with area of expertise as Otolaryngology. He is a member of the group practice Ssm Health Care Group and his current practice location is 1225 S Grand Blvd, Garden Level, Saint Louis, Missouri. You can reach out to his office (for appointments etc.) via phone at (314) 977-5110.

Mr Jastin L Antisdel is licensed to practice in Missouri (license number 2005036993) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1073714564.

Contact Information

Mr Jastin L Antisdel, MD
1225 S Grand Blvd, Garden Level,
Saint Louis, MO 63104-1016
(314) 977-5110
(314) 977-7686



Physician's Profile

Full NameMr Jastin L Antisdel
GenderMale
SpecialityOtolaryngology
Experience20 Years
Location1225 S Grand Blvd, Saint Louis, Missouri
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Mr Jastin L Antisdel attended and graduated from Saint Louis University School Of Medicine in 2004
  NPI Data:
  • NPI Number: 1073714564
  • Provider Enumeration Date: 05/30/2007
  • Last Update Date: 01/13/2021
  Medicare PECOS Information:
  • PECOS PAC ID: 4486709490
  • Enrollment ID: I20100702000378

Medical Identifiers

Medical identifiers for Mr Jastin L Antisdel such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1073714564NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207Y00000XOtolaryngology 062018 (Georgia)Secondary
207Y00000XOtolaryngology 2005036993 (Missouri)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
St Louis University HospitalSaint louis, MOHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Ssm Health Care Group0143608372678

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Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Mr Jastin L Antisdel allows following entities to bill medicare on his behalf.
Entity NameMercy Hospitals East Communities
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1851431738
PECOS PAC ID: 1658276811
Enrollment ID: O20031218000107

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Entity NameSsm Health Care Group
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1306589544
PECOS PAC ID: 0143608372
Enrollment ID: O20220531002655

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Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Mr Jastin L Antisdel is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Mr Jastin L Antisdel, MD
1008 S Spring Ave Fl 3,
Saint Louis, MO 63110-2520

Ph: (314) 977-8884
Mr Jastin L Antisdel, MD
1225 S Grand Blvd, Garden Level,
Saint Louis, MO 63104-1016

Ph: (314) 977-5110

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Otolaryngology Doctors in Saint Louis, MO

Mark F Stroble, M.D.
Otolaryngology
Medicare: Medicare Enrolled
Practice Location: 12399 Gravois Rd, Ste 120, Saint Louis, MO 63127
Phone: 314-843-3828    Fax: 314-843-3052
Arya W Namin, MD
Otolaryngology
Medicare: Accepting Medicare Assignments
Practice Location: 607 S New Ballas Rd Ste 2300, Saint Louis, MO 63141
Phone: 314-251-6394    Fax: 314-251-4235
Dr. Ethan Craig, MD
Otolaryngology
Medicare: Medicare Enrolled
Practice Location: 1 Barnes Jewish Hospital Plz, Saint Louis, MO 63110
Phone: 314-362-5000    
Dr. Richard A Chole, MD
Otolaryngology
Medicare: Not Enrolled in Medicare
Practice Location: 1 Childrens Pl Ste 3s, Ste 3s, Saint Louis, MO 63110
Phone: 314-454-6162    Fax: 314-454-2174
Dr. Timothy J Reichert, MD
Otolaryngology
Medicare: Not Enrolled in Medicare
Practice Location: 621 S New Ballas Rd, Suite 622a, Saint Louis, MO 63141
Phone: 314-872-8340    Fax: 314-872-8399
Dr. Cameron Connelly Wick, MD
Otolaryngology
Medicare: Accepting Medicare Assignments
Practice Location: 4921 Parkview Pl, Dept Otolaryngology, Ste 11a, Saint Louis, MO 63110
Phone: 314-362-7509    Fax: 314-362-7522
Dr. Matthew Lee Rohlfing, MD
Otolaryngology
Medicare: Accepting Medicare Assignments
Practice Location: 4921 Parkview Pl, Dept Otolaryngology, Ste 11a, Saint Louis, MO 63110
Phone: 314-362-7509    Fax: 314-362-7522

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