Dr Mena M Luangjamekorn, MD | |
4 Memorial Dr, Ste 230, Alton, IL 62002-6751 | |
(618) 463-7777 | |
(618) 463-7767 |
Full Name | Dr Mena M Luangjamekorn |
---|---|
Gender | Female |
Speciality | Family Practice |
Experience | 25 Years |
Location | 4 Memorial Dr, Alton, Illinois |
Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1255320578 | NPI | - | NPPES |
4591430 | Medicaid | MI | |
I07388 | Other | MI | HEALTH ALLIANCE PLAN |
1010621 | Other | MI | HEALTH ADVANTAGE NETWORK |
4619498 | Medicaid | MI | |
7450589 | Other | MI | AETNA |
080D410020 | Other | MI | BLUE CROSS BLUE SHIELD |
16492 | Other | MI | MCARE |
080D410020 | Other | MI | BLUE CARE NETWORK |
1010621 | Other | MI | MCLAREN HEALTH PLAN |
0802510871 | Other | MI | BLUE CROSS BLUE SHIELD |
I07388 | Other | MI | HEALTH NET FEDERAL |
2014164001 | Other | MI | CIGNA |
0998002 | Other | MI | 0998002 |
0998002 | Other | MI | GENESEE HEALTH PLAN |
4698830 | Medicaid | MI |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | 4301076196 (Michigan) | Secondary |
207Q00000X | Family Medicine | 036.125173 (Illinois) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Mercy Hospital South | Saint louis, MO | Hospital |
Mercy Hospital Jefferson | Festus, MO | Hospital |
Mercy Hospital St Louis | Saint louis, MO | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Mercy Clinic East Communities | 7214827922 | 499 |
Entity Name | Mercy Clinic East Communities |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1851335228 PECOS PAC ID: 7214827922 Enrollment ID: O20070521000006 |
Mailing Address | Practice Location Address |
---|---|
Dr Mena M Luangjamekorn, MD 670 Mason Ridge Center Dr, Ste 300, Saint Louis, MO 63141-8573 Ph: (618) 463-7777 | Dr Mena M Luangjamekorn, MD 4 Memorial Dr, Ste 230, Alton, IL 62002-6751 Ph: (618) 463-7777 |
Dr. Juletta Avagyan, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1 Memorial Dr, Alton, IL 62002 Phone: 618-463-7240 Fax: 618-463-7216 | |
Dr. Bryan Everett Steele, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 4 Memorial Dr Ste 210, Alton, IL 62002 Phone: 618-463-5905 Fax: 618-463-5935 | |
Puja Gurung, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 4 Memorial Dr Ste 230, Alton, IL 62002 Phone: 618-433-6616 | |
Mr. William P Robinson Jr., MD Family Medicine Medicare: Medicare Enrolled Practice Location: 815 E 5th Street, Suite 209, Alton, IL 62002 Phone: 618-463-0561 Fax: 618-465-9281 | |
Dr. Anne Ugabi, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 1 Memorial Dr, Alton, IL 62002 Phone: 618-463-7311 | |
Dr. Danny Sarwat Shehata, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 1 Memorial Dr, Alton, IL 62002 Phone: 618-463-7311 | |
Dr. Sisay Michael Abraham, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 2 Memorial Dr Ste 220, Alton, IL 62002 Phone: 618-474-1723 |