Dr Hussam A Fustok, MD | |
272 Hospital Rd, Chillicothe, OH 45601-9031 | |
(740) 779-8572 | |
Not Available |
Full Name | Dr Hussam A Fustok |
---|---|
Gender | Male |
Speciality | Hospitalist |
Experience | 9 Years |
Location | 272 Hospital Rd, Chillicothe, Ohio |
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 |
---|---|---|---|
1740669845 | NPI | - | NPPES |
1740669845 | Medicaid | MO | |
0299838 | Medicaid | OH |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | 2022045087 (Missouri) | Secondary |
208M00000X | Hospitalist | 2022045087 (Missouri) | Secondary |
207R00000X | Internal Medicine | 35.134179 (Ohio) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Hannibal Regional Hospital | Hannibal, MO | Hospital |
Parkland Health Center | Farmington, MO | Hospital |
Blessing Hospital | Quincy, IL | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Hannibal Regional Healthcare System Inc | 1254236300 | 205 |
Physician Groups Lc | 3072421254 | 427 |
Entity Name | Hannibal Regional Healthcare System Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1003956095 PECOS PAC ID: 1254236300 Enrollment ID: O20031203000229 |
Entity Name | Physician Groups Lc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1285664268 PECOS PAC ID: 3072421254 Enrollment ID: O20040220001157 |
Mailing Address | Practice Location Address |
---|---|
Dr Hussam A Fustok, MD 1968 Fishinger Rd, Upper Arlington, OH 43221-1372 Ph: (281) 701-2926 | Dr Hussam A Fustok, MD 272 Hospital Rd, Chillicothe, OH 45601-9031 Ph: (740) 779-8572 |
Courtney E Little, D.O. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 4439 State Route 159 Ste 150, Chillicothe, OH 45601 Phone: 740-779-8840 | |
Dr. Gaven Michael Harper, DO Internal Medicine Medicare: Medicare Enrolled Practice Location: 4439 State Route 159 Ste 150, Chillicothe, OH 45601 Phone: 740-779-7070 Fax: 740-779-8449 | |
Gopi K Gundumalla, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 4439 State Route 159, Ste 204, Chillicothe, OH 45601 Phone: 740-779-8728 Fax: 740-779-8729 | |
Dr. Laure Olutoyosi, MD Internal Medicine Medicare: Medicare Enrolled Practice Location: 272 Hospital Rd, Chillicothe, OH 45601 Phone: 214-693-0243 | |
Bharat Gautam, Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 272 Hospital Rd Ste 150, Chillicothe, OH 45601 Phone: 740-779-8268 | |
Dexter Lee Boggs, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 272 Hospital Rd, Chillicothe, OH 45601 Phone: 740-779-8575 Fax: 740-779-8579 | |
Shakil Hossain, Internal Medicine Medicare: Medicare Enrolled Practice Location: 272 Hospital Rd, Chillicothe, OH 45601 Phone: 786-521-2173 |