Molly Bea Menser, D.O.
Individual provider Active NPI Dermatology Physician · Riverside, MO
NPI 1306049010 · NPPES record last updated Oct 1, 2013
Key facts
- NPI
- 1306049010
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Dermatology Physician 207N00000X
- License
- 2011009214 (MO)
- Practice address
- 1805 NW Platte Rd
Suite 120
Riverside, MO 64150-9613 - Phone
- (816) 472-0400
- Fax
- (816) 472-0813
- NPI assigned
- Jun 8, 2007
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
Hospital & facility affiliations 2
Medicare Care Compare profile
- Specialty
- Dermatology
- Education
- Other, 2007
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Epiphany Dermatology of Missouri LLC
Practice addresses (Care Compare)
1805 NW Platte Rd
Suite 120
Riverside, MO 64150-7500
Phone (816) 205-8120
Hospital & facility affiliations
- NKC Health
Merit-based Incentive Payment System (MIPS)
- Final score
- 88.84 of 100
- Quality
- 80.25
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 82.55
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of skin lesions | 202 |
| Removal or shaving of skin growth | 1-10 |
| Skin biopsy | 187 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MO
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20110727000074 | MO | Practitioner - Dermatology | 2769650373 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Osteopathy
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Epiphany Dermatology of Missouri, LLC | Dermatology | Current |
Accepting new patients |
Locations
1805 NW Platte Rd
Ste 120
Riverside, MO 64150
Phone (816) 205-8120
805 N 36th St
Ste D
Saint Joseph, MO 64506
Phone (816) 205-8120
2325 Dougherty Ferry Rd
#201
Saint Louis, MO 63122
Phone (314) 993-1714
7300 Ranch Road 2222
Ste 200
Austin, TX 78730
7300 Ranch Road 2222
Bldg 1
Austin, TX 78730
Interoperability endpoints
- mmenser@epiphanykc.emadirect.md
- mmenser@epiphanyderm.emadirect.md
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dermatology Physician | 207N00000X | 2011009214 | MO | Yes |
Addresses
Primary practice location
1805 NW Platte Rd
Suite 120
Riverside, MO 64150-9613
Mailing address
221 W 48TH St
#1507
Kansas City, MO 64112-2680
Phone (913) 956-9909
Other providers in Riverside, MO
- Rachel Lynn Kimmich
- Bethany Knauth
- Darren Lea
- Brian Martin Matthys
- Medical One Inc
- Meritas Health Occupational Medicine, Inc
- Michael D Arnett, DDS, PC
- Robert Alan Mitchell
- Brittany Neri
- Morgan Lyn Newman
All providers in Riverside, MO · Dermatology Physician in Missouri
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 1, 2013. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.