Dr Mahbubul B Patwary, MD | |
12266 De Paul Dr Ste 315, Bridgeton, MO 63044-2514 | |
(314) 739-5858 | |
Not Available |
Full Name | Dr Mahbubul B Patwary |
---|---|
Gender | Male |
Speciality | Diagnostic Radiology |
Experience | 14 Years |
Location | 12266 De Paul Dr Ste 315, Bridgeton, 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 |
---|---|---|---|
1801184403 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2085R0204X | Radiology - Vascular & Interventional Radiology | 2017014909 (Missouri) | Secondary |
2085R0202X | Radiology - Diagnostic Radiology | 2017014909 (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 |
Ssm Medical Group Inc | 6608776299 | 496 |
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 |
Entity Name | Ssm Medical Group Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1700966207 PECOS PAC ID: 6608776299 Enrollment ID: O20040729001034 |
Mailing Address | Practice Location Address |
---|---|
Dr Mahbubul B Patwary, MD 220 Compass Point Drive, St Charles, MO 63301 Ph: (636) 947-4480 | Dr Mahbubul B Patwary, MD 12266 De Paul Dr Ste 315, Bridgeton, MO 63044-2514 Ph: (314) 739-5858 |
Dr. Lewis C Halverson, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 12266 De Paul Dr Ste 315, Bridgeton, MO 63044 Phone: 314-739-5858 | |
Dr. Clelland James-henry Chatman, M.D. Radiology Medicare: May Accept Medicare Assignments Practice Location: 12303 De Paul Dr, Bridgeton, MO 63044 Phone: 314-770-9393 Fax: 314-770-9997 | |
Thomas P Bocchini, MD Radiology Medicare: Not Enrolled in Medicare Practice Location: 12266 De Paul Dr Ste 305, Bridgeton, MO 63044 Phone: 314-770-0991 | |
Andre Strzembosz, MD Radiology Medicare: May Accept Medicare Assignments Practice Location: 12303 De Paul Dr, Depaul Health Center, Bridgeton, MO 63044 Phone: 314-344-6350 | |
Larry Paskar, MD Radiology Medicare: Not Enrolled in Medicare Practice Location: 12303 De Paul Dr, Depaul Health Center, Bridgeton, MO 63044 Phone: 314-344-6350 | |
Edwin C Ernst Iii, MD Radiology Medicare: Not Enrolled in Medicare Practice Location: 12303 Depaul Dr, Depaul Health Center, Bridgeton, MO 63044 Phone: 314-344-6350 | |
Megan M Gau, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 12303 Depaul Dr, Depaul Health Center, Bridgeton, MO 63044 Phone: 314-344-6000 |