Dr Jesse G Susi, MD | |
675 Old Ballas Rd Ste 100, Saint Louis, MO 63141-7083 | |
(314) 733-9009 | |
Not Available |
Full Name | Dr Jesse G Susi |
---|---|
Gender | Male |
Speciality | Orthopedic Surgery |
Experience | 45 Years |
Location | 675 Old Ballas Rd Ste 100, Saint Louis, 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 |
---|---|---|---|
1033145875 | NPI | - | NPPES |
1092007002 | Other | MO | CIGNA |
0900102 | Other | MO | UNITED HEALTHCARE |
4420147 | Other | MO | AETNA |
203085907 | Medicaid | MO | |
171747 | Other | MO | HEALTHLINK |
200042300 | Other | MO | RAILROAD MEDICARE |
22344 | Other | MO | BLUE CROSS BLUE SHIELD |
83374V3223 | Other | MO | GROUP HEALTH PLAN |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207X00000X | Orthopaedic Surgery | R7B02 (Missouri) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
St Louis Home Health | Saint louis, MO | Home health agency |
Missouri Baptist Medical Center | Town and country, MO | Hospital |
Progress West Hospital | O fallon, MO | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Mb Professional Billing Services, Llc | 6406109792 | 10 |
Entity Name | Mb Professional Billing Services, Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1174663900 PECOS PAC ID: 6406109792 Enrollment ID: O20181102002650 |
Mailing Address | Practice Location Address |
---|---|
Dr Jesse G Susi, MD 675 Old Ballas Rd Ste 100, Saint Louis, MO 63141-7083 Ph: (314) 733-9009 | Dr Jesse G Susi, MD 675 Old Ballas Rd Ste 100, Saint Louis, MO 63141-7083 Ph: (314) 733-9009 |
Nathan M Fisher, D.O. Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 12639 Old Tesson Rd Ste 115, Saint Louis, MO 63128 Phone: 314-849-0311 Fax: 314-849-4423 | |
Dr. Wassim Mourad, MD, MHCM Orthopedic Surgery Medicare: Medicare Enrolled Practice Location: 1008 S Spring Ave Rm 1114, Saint Louis, MO 63110 Phone: 314-977-4102 | |
Dr. David William Barton, MD Orthopedic Surgery Medicare: Medicare Enrolled Practice Location: 4921 Parkview Pl, Dept Orthopaedic Surgery, Ste 6a/6b/12a, Saint Louis, MO 63110 Phone: 314-747-2551 Fax: 314-747-2598 | |
Dr. Moneer Moustafa Abouljoud, MD Orthopedic Surgery Medicare: Not Enrolled in Medicare Practice Location: 1 Barnes Jewish Hospital Plz, Saint Louis, MO 63110 Phone: 314-747-2835 | |
Dr. Brian Adams Kelly, MD Orthopedic Surgery Medicare: Medicare Enrolled Practice Location: 4921 Parkview Pl, Dept Orthopaedic Surgery, Ste 6a/6b/12a, Saint Louis, MO 63110 Phone: 314-747-2551 Fax: 314-747-2598 | |
Thomas John Revak, DO Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 1008 South Spring Avenue, Orthopaedic Surgery, Slucare Administrative Pavillion F, Saint Louis, MO 63110 Phone: 314-977-5350 | |
Dr. Nicholas Andrew Pallotta, MD Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 4921 Parkview Pl, Dept Orthopaedic Surgery, Ste 6a/6b/12a, Saint Louis, MO 63110 Phone: 314-747-2551 Fax: 314-747-2598 |