Jonathan D Root, MD | |
300 First Capitol Drive, St Charles, MO 63301 | |
(636) 947-5444 | |
Not Available |
Full Name | Jonathan D Root |
---|---|
Gender | Male |
Speciality | Diagnostic Radiology |
Experience | 41 Years |
Location | 300 First Capitol Drive, St Charles, 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 |
---|---|---|---|
1033139696 | NPI | - | NPPES |
036086602 | Medicaid | IL | |
300102466 | Other | MO | RAILROAD MEDICARE |
203143300 | Medicaid | MO | |
300102481 | Other | MO | RAILROAD MEDICARE |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2085R0202X | Radiology - Diagnostic Radiology | R8F12 (Missouri) | Primary |
2085R0202X | Radiology - Diagnostic Radiology | 036086602 (Illinois) | Secondary |
Facility Name | Location | Facility Type |
---|---|---|
Ssm St Joseph Hospital West | Lake saint louis, MO | Hospital |
Ssm St Joseph Health Center | Saint charles, MO | Hospital |
Ssm Depaul Health Center | Bridgeton, MO | Hospital |
St Louis University Hospital | Saint louis, MO | Hospital |
Mercy Hospital Lincoln | Troy, MO | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Radiologic Imaging Consultants, Llp | 4587652748 | 16 |
Entity Name | Radiologic Imaging Consultants, Llp |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1871689505 PECOS PAC ID: 4587652748 Enrollment ID: O20040505000834 |
Mailing Address | Practice Location Address |
---|---|
Jonathan D Root, MD 220 Compass Point Dr, Saint Charles, MO 63301-4405 Ph: (636) 947-4480 | Jonathan D Root, MD 300 First Capitol Drive, St Charles, MO 63301 Ph: (636) 947-5444 |
Tisha Singer, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 300 First Capitol Drive, St Charles, MO 63301 Phone: 636-947-5444 Fax: 636-947-5259 | |
Xavier Antonio Robinson, MD Radiology Medicare: Medicare Enrolled Practice Location: 300 First Capitol Drive, St Charles, MO 63301 Phone: 636-947-5444 Fax: 636-947-5259 | |
Dr. Cole E Denton, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 300 First Capitol Drive, St Charles, MO 63301 Phone: 636-947-5444 Fax: 636-947-9860 | |
Dr. Daniel T Cohen, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 300 First Capitol Drive, St Charles, MO 63301 Phone: 636-947-5444 Fax: 636-947-9860 | |
Tim Propeck, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 300 First Capitol Drive, St Charles, MO 63301 Phone: 636-947-5444 | |
Jonas Singer, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 300 First Capitol Drive, St Charles, MO 63301 Phone: 636-947-5444 |