Carl A Mazzola, MD | |
300 First Capitol Drive, St Charles, MO 63301 | |
(636) 947-5444 | |
(636) 947-5259 |
Full Name | Carl A Mazzola |
---|---|
Gender | Male |
Speciality | Diagnostic Radiology |
Experience | 25 Years |
Location | 300 First Capitol Drive, St Charles, 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 |
---|---|---|---|
1801967138 | NPI | - | NPPES |
209131705 | Medicaid | MO |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2085R0202X | Radiology - Diagnostic Radiology | 2004001466 (Missouri) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Ssm St Joseph Hospital West | Lake saint louis, MO | Hospital |
Ssm St Joseph Health Center | Saint charles, MO | Hospital |
Ssm Depaul Health Center | Bridgeton, MO | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Radiologic Imaging Consultants, Llp | 4587652748 | 16 |
Entity Name | Diagnostic Imaging Associates Ltd |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1033142146 PECOS PAC ID: 9638064942 Enrollment ID: O20040217000118 |
Entity Name | Radiologic Imaging Consultants, Llp |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1871689505 PECOS PAC ID: 4587652748 Enrollment ID: O20040505000834 |
Mailing Address | Practice Location Address |
---|---|
Carl A Mazzola, MD 220 Compass Point Drive, St Charles, MO 63301 Ph: (636) 947-4480 | Carl A Mazzola, MD 300 First Capitol Drive, St Charles, MO 63301 Ph: (636) 947-5444 |
Jonathan D Root, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 300 First Capitol Drive, St Charles, MO 63301 Phone: 636-947-5444 | |
Tisha Singer, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 300 First Capitol Drive, St Charles, MO 63301 Phone: 636-947-5444 Fax: 636-947-5259 | |
Xavier Antonio Robinson, MD Radiology Medicare: Medicare Enrolled Practice Location: 300 First Capitol Drive, St Charles, MO 63301 Phone: 636-947-5444 Fax: 636-947-5259 | |
Dr. Cole E Denton, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 300 First Capitol Drive, St Charles, MO 63301 Phone: 636-947-5444 Fax: 636-947-9860 | |
Dr. Daniel T Cohen, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 300 First Capitol Drive, St Charles, MO 63301 Phone: 636-947-5444 Fax: 636-947-9860 | |
Tim Propeck, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 300 First Capitol Drive, St Charles, MO 63301 Phone: 636-947-5444 | |
Jonas Singer, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 300 First Capitol Drive, St Charles, MO 63301 Phone: 636-947-5444 |