Elie C Azrak, MD | |
12266 De Paul Dr Ste 205, Bridgeton, MO 63044-2514 | |
(314) 218-2300 | |
Not Available |
Full Name | Elie C Azrak |
---|---|
Gender | Male |
Speciality | Cardiovascular Disease (cardiology) |
Experience | 32 Years |
Location | 12266 De Paul Dr Ste 205, 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 |
---|---|---|---|
1962495952 | NPI | - | NPPES |
183083 | Other | MO | MOBC/BS, BLUE CHOICE |
431098908 | Other | UHC | |
072208 | Other | FMH | |
435756 | Other | HEALTHLINK | |
9779268001 | Other | CIGNA | |
P00289356 | Other | MO | MORRMCR |
P00279137 | Other | MO | MORRMCR |
185761V3831 | Other | GHP | |
000000013096 | Other | ESSENCE | |
204870026 | Medicaid | MO | |
22724 | Other | HEALTHCARE USA | |
G57442 | Other | MERCY | |
P00149798 | Other | IL | ILRRMCR |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207RC0000X | Internal Medicine - Cardiovascular Disease | 036110194 (Illinois) | Secondary |
207RC0000X | Internal Medicine - Cardiovascular Disease | 106181 (Missouri) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Ssm Depaul Health Center | Bridgeton, MO | Hospital |
Ssm St Joseph Hospital West | Lake saint louis, MO | Hospital |
Ssm St Joseph Health Center | Saint charles, MO | Hospital |
St Louis University Hospital | Saint louis, MO | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Ssm Medical Group Inc | 6608776299 | 496 |
Ssm Health Care St Louis | 7810800737 | 143 |
Entity Name | Ssm Health Care St Louis |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1275586174 PECOS PAC ID: 7810800737 Enrollment ID: O20031118000393 |
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 |
---|---|
Elie C Azrak, MD Po Box 955534, Saint Louis, MO 63195-6119 Ph: () - | Elie C Azrak, MD 12266 De Paul Dr Ste 205, Bridgeton, MO 63044-2514 Ph: (314) 218-2300 |
Robert M Fischer, M.D. Cardiovascular Disease Medicare: Accepting Medicare Assignments Practice Location: 12303 De Paul Dr, Radiology Dept, Bridgeton, MO 63044 Phone: 314-770-9393 Fax: 314-770-9997 | |
Dr. Ashfaq Ullah, MD Cardiovascular Disease Medicare: Medicare Enrolled Practice Location: 12255 De Paul Dr Ste 500, Bridgeton, MO 63044 Phone: 314-209-5180 | |
Sean T Mclaughlin, M.D. Cardiovascular Disease Medicare: Accepting Medicare Assignments Practice Location: 12277 De Paul Dr, Suite 504, Bridgeton, MO 63044 Phone: 314-298-3893 Fax: 314-851-4408 | |
Dr. Raymond Frederick Mohrman Jr., MD Cardiovascular Disease Medicare: Not Enrolled in Medicare Practice Location: 12266 De Paul Dr Ste 300, Bridgeton, MO 63044 Phone: 314-291-8824 | |
Navid S Siddiqui, MD Cardiovascular Disease Medicare: Accepting Medicare Assignments Practice Location: 12255 De Paul Dr Ste 600, Bridgeton, MO 63044 Phone: 314-209-5100 | |
Robert Byrne, M.D. Cardiovascular Disease Medicare: Accepting Medicare Assignments Practice Location: 12255 De Paul Dr, Suite 700, Bridgeton, MO 63044 Phone: 314-739-4166 Fax: 314-739-2485 | |
Melvin Boris Saltzman, D.O. Cardiovascular Disease Medicare: Accepting Medicare Assignments Practice Location: 12277 De Paul Dr, Ste 404, Bridgeton, MO 63044 Phone: 314-770-1000 Fax: 314-770-2456 |