Dr Bassam A Roukoz, MD | |
1390 Highway 61, Suite 3300, Festus, MO 63028-4137 | |
(636) 931-6302 | |
(636) 931-3609 |
Full Name | Dr Bassam A Roukoz |
---|---|
Gender | Male |
Speciality | Cardiovascular Disease (cardiology) |
Experience | 29 Years |
Location | 1390 Highway 61, Festus, 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 |
---|---|---|---|
1396744439 | NPI | - | NPPES |
208766204 | Medicaid | MO | |
208766212 | Medicaid | MO |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207RC0000X | Internal Medicine - Cardiovascular Disease | 2003007582 (Missouri) | Secondary |
207RI0011X | Internal Medicine - Interventional Cardiology | 190958 (Missouri) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Mercy Hospital Jefferson | Festus, MO | Hospital |
Mercy Hospital South | Saint louis, MO | Hospital |
Perry County Memorial Hospital | Perryville, MO | Hospital |
Mercy Hospital St Louis | Saint louis, MO | Hospital |
Washington County Memorial Hospital | Potosi, MO | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Mercy Clinic Heart And Vascular Llc | 8820016207 | 92 |
Entity Name | Mercy Clinic Heart And Vascular Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1932176401 PECOS PAC ID: 8820016207 Enrollment ID: O20051103000947 |
Entity Name | Mercy Hospital Perry |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1063117158 PECOS PAC ID: 1153777826 Enrollment ID: O20231101001515 |
Mailing Address | Practice Location Address |
---|---|
Dr Bassam A Roukoz, MD 12855 N Forty Dr, Suite 300, Saint Louis, MO 63141-8666 Ph: (314) 880-6100 | Dr Bassam A Roukoz, MD 1390 Highway 61, Suite 3300, Festus, MO 63028-4137 Ph: (636) 931-6302 |
Holly Ackermann, FNP Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 1153 E Gannon Dr, Festus, MO 63028 Phone: 636-282-0380 Fax: 636-282-0384 | |
Karthik Iyer, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 1400 Us Highway 61, Festus, MO 63028 Phone: 636-933-5337 | |
Joanne M Waltman, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 1500 Calvary Church Rd, Festus, MO 63028 Phone: 636-933-2900 Fax: 636-933-8017 | |
Dr. Manzoor Ahmad Tariq, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 1071 Airport Road, Festus, MO 63028 Phone: 636-931-7111 Fax: 636-937-7486 | |
Amit J Shah, M.D. Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 1500 Calvary Church Rd, Festus, MO 63028 Phone: 636-933-2900 | |
Amanda E Avellone, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 1455 Us Highway 61, Festus, MO 63028 Phone: 636-937-3121 Fax: 636-937-4423 | |
Jooho Peter Kim, MD Internal Medicine Medicare: Medicare Enrolled Practice Location: 1400 Us Highway 61 # H1521, Festus, MO 63028 Phone: 636-933-5337 Fax: 636-933-8090 |