Scott R Roustio, MD | |
8422 Braeswood Estates Dr, O Fallon, IL 62269-4235 | |
(618) 624-0091 | |
Not Available |
Full Name | Scott R Roustio |
---|---|
Gender | Male |
Speciality | Emergency Medicine |
Experience | 33 Years |
Location | 8422 Braeswood Estates Dr, O Fallon, Illinois |
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 |
---|---|---|---|
1215080395 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207P00000X | Emergency Medicine | 036-087697 (Illinois) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Ssm Health - Good Samaritan Hospital | Mount vernon, IL | Hospital |
Fairfield Memorial Hospital 1 | Fairfield, IL | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Midwest Emergency Good Samaritan, Inc | 1658529342 | 24 |
Fairfield Memorial Hospital Association | 5698671741 | 24 |
Entity Name | Fairfield Memorial Hospital Association |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1649442419 PECOS PAC ID: 5698671741 Enrollment ID: O20041124000368 |
Entity Name | Midwest Emergency Good Samaritan, Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1629367578 PECOS PAC ID: 1658529342 Enrollment ID: O20120921000645 |
Entity Name | Midwest Emergency Centralia Campus Associates, Inc. |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1396034245 PECOS PAC ID: 2163672650 Enrollment ID: O20121018000074 |
Entity Name | Integritas Emergency Physician Services Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1790128817 PECOS PAC ID: 7113167446 Enrollment ID: O20130710000760 |
Entity Name | Midwest Emergency Sparta, Inc. |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1194162370 PECOS PAC ID: 0345481255 Enrollment ID: O20130718000343 |
Mailing Address | Practice Location Address |
---|---|
Scott R Roustio, MD 8422 Braeswood Estates Dr, O Fallon, IL 62269-4235 Ph: (618) 624-0091 | Scott R Roustio, MD 8422 Braeswood Estates Dr, O Fallon, IL 62269-4235 Ph: (618) 624-0091 |
Dr. Arthur Sippo, M.D. Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 103 N Oak St, O Fallon, IL 62269 Phone: 618-624-3368 Fax: 618-624-3387 | |
Maria Galanos, Emergency Medicine Medicare: Medicare Enrolled Practice Location: 103 N Oak St, O Fallon, IL 62269 Phone: 618-624-3368 | |
Vicky Hwang, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 320 E Highway 50, O Fallon, IL 62269 Phone: 618-624-3368 | |
Dr. Faron Fox, M.D. Emergency Medicine Medicare: Medicare Enrolled Practice Location: 103 N Oak St, O Fallon, IL 62269 Phone: 618-624-3368 Fax: 618-624-3387 | |
Brian Litland, Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 103 N Oak St, O Fallon, IL 62269 Phone: 618-624-3368 | |
Dr. Dale E Long, D.O Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 103 N Oak St, O Fallon, IL 62269 Phone: 618-624-3368 Fax: 618-624-3387 |