Dr Selasi Mabonga Nakhaima, MD in Saint Louis, MO

Dr Selasi Mabonga Nakhaima, MD is a medicare enrolled "Radiology - Diagnostic Radiology" physician in Saint Louis, Missouri. His current practice location is 10010 Kennerly Rd, Saint Louis, Missouri. You can reach out to his office (for appointments etc.) via phone at (314) 525-1165.

Dr Selasi Mabonga Nakhaima is licensed to practice in Missouri (license number 2019045772) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1396249009.

Contact Information

	Dr Selasi Mabonga Nakhaima, MD
	10010 Kennerly Rd, Saint Louis, MO 63128-2106
	(314) 525-1165
	Not Available

Map and Direction

Physician's Profile

Full Name	Dr Selasi Mabonga Nakhaima
Gender	Male
Speciality	Radiology - Diagnostic Radiology
Location	10010 Kennerly Rd, Saint Louis, Missouri
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1396249009
Provider Enumeration Date: 03/19/2018
Last Update Date: 07/16/2024

Medicare PECOS Information:

PECOS PAC ID: 8921357609
Enrollment ID: I20230710000162

Medical Identifiers

Medical identifiers for Dr Selasi Mabonga Nakhaima such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1396249009	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
2085R0202X	Radiology - Diagnostic Radiology	2019045772 (Missouri)	Primary
2085R0202X	Radiology - Diagnostic Radiology	43209 (Oklahoma)	Secondary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Dr Selasi Mabonga Nakhaima allows following entities to bill medicare on his behalf.

Entity Name	Washington University
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1962442475 PECOS PAC ID: 9830008770 Enrollment ID: O20031204000987

Entity Name	Miracl Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1205304300 PECOS PAC ID: 4587908041 Enrollment ID: O20181210003487

Entity Name	Stern Drake Isbell & Associates Pa
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1215903398 PECOS PAC ID: 3779480835 Enrollment ID: O20240509002632

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Selasi Mabonga Nakhaima is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Dr Selasi Mabonga Nakhaima, MD 11475 Olde Cabin Rd Ste 200, Saint Louis, MO 63141-7129 Ph: (314) 991-8200	Dr Selasi Mabonga Nakhaima, MD 10010 Kennerly Rd, Saint Louis, MO 63128-2106 Ph: (314) 525-1165

Reviews and Comments

Radiology Doctors in Saint Louis, MO

Dr. Hilton I Price, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 11133 Dunn Rd, Dept Radiology, Saint Louis, MO 63136 Phone: 314-362-7200 Fax: 314-747-4189
Benjamin Lee, MD Radiology Medicare: Not Enrolled in Medicare Practice Location: 510 S Kingshighway Blvd, Saint Louis, MO 63110 Phone: 314-362-7092
Dr. Kyle Anthony O'blanc, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 1825 High Oak Rd, Saint Louis, MO 63131 Phone: 504-710-8234
Dr. Michael D. Bazzani, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 10010 Kennerly Rd, Saint Louis, MO 63128 Phone: 314-525-1165 Fax: 314-525-1485
Chelsea Schmitt, Radiology Medicare: Medicare Enrolled Practice Location: 1 Barnes Jewish Hospital Plz, Saint Louis, MO 63110 Phone: 314-362-2819
Dr. James Edward Kelly, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 510 S Kingshighway Blvd, Dept Radiology, Saint Louis, MO 63110 Phone: 314-362-7200 Fax: 314-747-4189
Cindy Xin Zhang, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 615 S New Ballas Rd, Dept Of Radiology, Saint Louis, MO 63141 Phone: 314-251-6031 Fax: 314-251-6343

Dr Selasi Mabonga Nakhaima, MD - Medicare Radiology in Saint Louis, MO