Dr Samuel Mearl Medaris, MD | |
501 W Pine St, Farmington, MO 63640-1439 | |
(573) 756-8888 | |
(573) 701-9547 |
Full Name | Dr Samuel Mearl Medaris |
---|---|
Gender | Male |
Speciality | Otolaryngology |
Experience | 21 Years |
Location | 501 W Pine St, Farmington, 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 |
---|---|---|---|
1720159346 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Y00000X | Otolaryngology | 40298 (Iowa) | Secondary |
207Y00000X | Otolaryngology | 23454 (Nebraska) | Secondary |
207Y00000X | Otolaryngology | 2020000124 (Missouri) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Perry County Memorial Hospital | Perryville, MO | Hospital |
Memorial Hospital | Chester, IL | Hospital |
Parkland Health Center | Farmington, MO | Hospital |
Ste Genevieve County Memorial Hospital | Sainte genevieve, MO | Hospital |
Mercy Hospital Jefferson | Festus, MO | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Sound Health Services Pc | 0446227821 | 37 |
Ste Genevieve County Memorial Hospital | 3274432802 | 72 |
Mercy Hospital Perry | 1153777826 | 89 |
Ste Genevieve County Memorial Hospital | 3274432802 | 72 |
Entity Name | Ste Genevieve County Memorial Hospital |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1730238551 PECOS PAC ID: 3274432802 Enrollment ID: O20040310001286 |
Entity Name | Ste Genevieve County Memorial Hospital |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1801817416 PECOS PAC ID: 3274432802 Enrollment ID: O20040617000089 |
Entity Name | Sound Health Services Pc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1811988611 PECOS PAC ID: 0446227821 Enrollment ID: O20040915000031 |
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 Samuel Mearl Medaris, MD 1010 Old Des Peres Rd, Des Peres, MO 63131-1865 Ph: (314) 729-0077 | Dr Samuel Mearl Medaris, MD 501 W Pine St, Farmington, MO 63640-1439 Ph: (573) 756-8888 |
Justin W. Roberts, DO Otolaryngology Medicare: Accepting Medicare Assignments Practice Location: 501 West Pine Street, Farmington, MO 63640 Phone: 573-756-8888 Fax: 866-291-5617 |