Evangelos G Tambassis, MD | |
1445 Christy Dr, Jefferson City, MO 65101-2853 | |
(573) 636-3483 | |
(573) 636-5315 |
Full Name | Evangelos G Tambassis |
---|---|
Gender | Male |
Speciality | Anesthesiology |
Experience | 35 Years |
Location | 1445 Christy Dr, Jefferson City, Missouri |
Accepts Medicare Assignments | May be. He may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1679569198 | NPI | - | NPPES |
203941224 | Medicaid | MO |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207L00000X | Anesthesiology | 104008 (Missouri) | Primary |
207L00000X | Anesthesiology | 036.117610 (Illinois) | Secondary |
Facility Name | Location | Facility Type |
---|---|---|
Blessing Hospital | Quincy, IL | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Blessing Hospital | 3072422534 | 349 |
Midwest Anesthesia Providers Sc | 9830480581 | 143 |
Entity Name | Blessing Hospital |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1255515342 PECOS PAC ID: 3072422534 Enrollment ID: O20040330001155 |
Entity Name | North American Partners In Anesthesia Illinois Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1699032524 PECOS PAC ID: 1052576519 Enrollment ID: O20120706000534 |
Entity Name | Midwest Anesthesia Providers Sc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1295189082 PECOS PAC ID: 9830480581 Enrollment ID: O20160628000182 |
Mailing Address | Practice Location Address |
---|---|
Evangelos G Tambassis, MD 1 Saint Elizabeth Blvd, O Fallon, IL 62269-1099 Ph: (217) 234-2120 | Evangelos G Tambassis, MD 1445 Christy Dr, Jefferson City, MO 65101-2853 Ph: (573) 636-3483 |
Scott W. Tanner, D.O. Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 1445 Christy Dr, Jefferson City, MO 65101 Phone: 573-636-3483 Fax: 573-636-5315 | |
Mark R. Frederick, DO Anesthesiology Medicare: Not Enrolled in Medicare Practice Location: 1445 Christy Dr, Jefferson City, MO 65101 Phone: 573-636-3483 Fax: 573-636-5315 | |
Thomas E Hetherington, MD Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 1125 Madison St, Jefferson City, MO 65101 Phone: 573-632-5000 | |
Suzanne M. Pautler, M.D. Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 1445 Christy Dr, Jefferson City, MO 65101 Phone: 573-636-3483 Fax: 573-636-5315 | |
Dr. Deana Michelle Berrey, D.O. Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 1241 W Stadium Blvd, Jefferson City, MO 65109 Phone: 573-556-5771 | |
Dr. Nicolette Christine Wise, DO Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 1125 Madison St, Jefferson City, MO 65101 Phone: 316-268-5000 | |
Adelia L. Doerhoff, MD Anesthesiology Medicare: Not Enrolled in Medicare Practice Location: 1445 Christy Dr, Jefferson City, MO 65101 Phone: 573-636-3483 Fax: 573-636-5315 |