Charles Moussallem, MD | |
1500 Dodson Ave, Suite 280, Fort Smith, AR 72901-5182 | |
(479) 709-7480 | |
(479) 709-7479 |
Full Name | Charles Moussallem |
---|---|
Gender | Male |
Speciality | Nephrology |
Experience | 19 Years |
Location | 1500 Dodson Ave, Fort Smith, Arkansas |
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 |
---|---|---|---|
1023318334 | NPI | - | NPPES |
200504590A | Medicaid | OK |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207RN0300X | Internal Medicine - Nephrology | E-8013 (Arkansas) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Ft Smith Regional Dialysis Ctr | Fort smith, AR | Dialysis facility |
Poteau Dialysis Ctr | Poteau, OK | Dialysis facility |
Baptist Health - Fort Smith | Fort smith, AR | Hospital |
Baptist Health - Van Buren | Van buren, AR | Hospital |
Eastern Oklahoma Medical Center | Poteau, OK | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Baptist Health Services | 0648514133 | 135 |
Baptist Health Services | 0648514133 | 135 |
Entity Name | Fort Smith Hma Pbc Management Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1477888907 PECOS PAC ID: 8224172127 Enrollment ID: O20100216000383 |
Entity Name | Baptist Health Services |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1922587690 PECOS PAC ID: 0648514133 Enrollment ID: O20181211001401 |
Mailing Address | Practice Location Address |
---|---|
Charles Moussallem, MD 1500 Dodson Ave, # 280, Fort Smith, AR 72901-5182 Ph: (479) 709-7399 | Charles Moussallem, MD 1500 Dodson Ave, Suite 280, Fort Smith, AR 72901-5182 Ph: (479) 709-7480 |
Dr. David A Hebert, M.D. Nephrology Medicare: Medicare Enrolled Practice Location: 7301 Rogers Ave, Fort Smith, AR 72903 Phone: 479-314-6000 | |
Christopher Brian Cross, MD Nephrology Medicare: Accepting Medicare Assignments Practice Location: 6801 Rogers Ave, Fort Smith, AR 72903 Phone: 479-274-3200 Fax: 479-274-3289 | |
Fiorella Nawar, MD Nephrology Medicare: Accepting Medicare Assignments Practice Location: 1001 Towson Ave, Fort Smith, AR 72901 Phone: 479-709-7402 | |
Ongkarn Sarasombath, M.D. Nephrology Medicare: Not Enrolled in Medicare Practice Location: 6801 Rogers Ave, Fort Smith, AR 72903 Phone: 479-274-2000 Fax: 479-274-2194 | |
Dr. Jacob K Joseph, MD Nephrology Medicare: Accepting Medicare Assignments Practice Location: 6801 Rogers Ave, Fort Smith, AR 72903 Phone: 479-274-3200 Fax: 479-274-3289 | |
Dr. Paul K Howell Jr., MD Nephrology Medicare: Accepting Medicare Assignments Practice Location: 6801 Rogers Ave, Fort Smith, AR 72903 Phone: 479-452-2077 |