Dr Samuel Selasie Mortoti, MBCHB | |
2000 Mclain St, Suite H, Newport, AR 72112-3661 | |
(870) 523-2404 | |
Not Available |
Full Name | Dr Samuel Selasie Mortoti |
---|---|
Gender | Male |
Speciality | Cardiovascular Disease (cardiology) |
Experience | 21 Years |
Location | 2000 Mclain St, Newport, Arkansas |
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 |
---|---|---|---|
1154588762 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207RC0000X | Internal Medicine - Cardiovascular Disease | E-7981 (Arkansas) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Saint Francis Medical Center | Peoria, IL | Hospital |
Graham Hospital Association | Canton, IL | Hospital |
St Mary Medical Center | Galesburg, IL | Hospital |
Osf Saint Lukes Medical Center | Kewanee, IL | Hospital |
Ottawa Regional Hospital Dba Osf Saint Elizabeth Mdl Ctr | Ottawa, IL | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Graham Hospital Association | 2769375021 | 95 |
Osf Multi-specialty Group | 3678889789 | 1552 |
Entity Name | Graham Hospital Association |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1780692087 PECOS PAC ID: 2769375021 Enrollment ID: O20040510000873 |
Entity Name | Osf Multi-specialty Group |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1922445527 PECOS PAC ID: 3678889789 Enrollment ID: O20150904000279 |
Mailing Address | Practice Location Address |
---|---|
Dr Samuel Selasie Mortoti, MBCHB 5412 Deerfield Dr, Jonesboro, AR 72404-8467 Ph: (202) 290-4161 | Dr Samuel Selasie Mortoti, MBCHB 2000 Mclain St, Suite H, Newport, AR 72112-3661 Ph: (870) 523-2404 |
Mitchell Louis Keel, MD Cardiovascular Disease Medicare: Accepting Medicare Assignments Practice Location: 2200 Malcolm Ave, Newport, AR 72112 Phone: 870-512-2500 Fax: 870-512-2525 | |
Dr. William C. Cobb, MD Cardiovascular Disease Medicare: Accepting Medicare Assignments Practice Location: 1117 Mclain St, Newport, AR 72112 Phone: 870-523-9400 Fax: 870-523-9002 | |
Mr. Guilford M Dudley, MD Cardiovascular Disease Medicare: Medicare Enrolled Practice Location: 1200 Mclain Street, Newport, AR 72112 Phone: 870-523-5272 Fax: 870-523-4292 |