Irim A Massay, MD | |
300 1st Capitol Dr, Saint Charles, MO 63301-2844 | |
(314) 317-0600 | |
(314) 317-0606 |
Full Name | Irim A Massay |
---|---|
Gender | Female |
Speciality | Internal Medicine |
Location | 300 1st Capitol Dr, Saint Charles, Missouri |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1619931110 | NPI | - | NPPES |
1619931110 | Medicaid | MO | |
1619931110 | Medicaid | IL |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208M00000X | Hospitalist | 2008017169 (Missouri) | Secondary |
207R00000X | Internal Medicine | 2008017169 (Missouri) | Primary |
Entity Name | Southeastern Physician Services Pc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1083835441 PECOS PAC ID: 0042307852 Enrollment ID: O20160809000235 |
Entity Name | Ipc Pac Healthcare Services Of Missouri Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1326497587 PECOS PAC ID: 4587950589 Enrollment ID: O20160830002898 |
Mailing Address | Practice Location Address |
---|---|
Irim A Massay, MD 12101 Woodcrest Executive Dr, Suite 210, Saint Louis, MO 63141-5047 Ph: (314) 317-0600 | Irim A Massay, MD 300 1st Capitol Dr, Saint Charles, MO 63301-2844 Ph: (314) 317-0600 |
Lawrence Stephen Tierney, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 400 1st Capitol Dr Ste 201, Saint Charles, MO 63301 Phone: 636-669-2332 | |
Syed A Khalid, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 300 1st Capitol Dr, Saint Charles, MO 63301 Phone: 636-647-5000 Fax: 636-947-5090 | |
Guangchen Zou, M.D. Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 1820 Zumbehl Rd Ste 120, Saint Charles, MO 63303 Phone: 314-801-5350 Fax: 314-801-5323 | |
Dr. Stephen M Comens, M.D. Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 1551 Wall St, 4th Floor, Saint Charles, MO 63303 Phone: 636-669-2220 Fax: 636-669-2401 | |
Dr. Shephali Himanshu Wulff, D.O Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 330 1st Capitol Dr Ste 260, Saint Charles, MO 63301 Phone: 636-925-0900 | |
Keith Wickenhauser, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 711 Veterans Memorial Pkwy Ste 300, Saint Charles, MO 63303 Phone: 636-669-2350 | |
Jerome E Thurman, M.D.,F.A.C.E. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 711 Veterans Memorial Pkwy Ste 200, Saint Charles, MO 63303 Phone: 636-669-2219 Fax: 636-669-2380 |