Shalen Kouk, MD | |
12700 Southfork Rd Ste 100, Saint Louis, MO 63128-3201 | |
(314) 543-5284 | |
(314) 543-5276 |
Full Name | Shalen Kouk |
---|---|
Gender | Male |
Speciality | Orthopedic Surgery |
Experience | 9 Years |
Location | 12700 Southfork Rd Ste 100, Saint Louis, 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 |
---|---|---|---|
1558748871 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207X00000X | Orthopaedic Surgery | MD.40953 (Alabama) | Secondary |
207XX0005X | Orthopaedic Surgery - Sports Medicine | 2022039230 (Missouri) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Mercy Hospital South | Saint louis, MO | Hospital |
Mercy Hospital St Louis | Saint louis, MO | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Mercy Clinic Surgical Specialists Llc | 1153455076 | 135 |
Arnold Physical Therapy And Sports Medicine Llc | 5698803278 | 26 |
Entity Name | Mercy Clinic Surgical Specialists Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1043530538 PECOS PAC ID: 1153455076 Enrollment ID: O20100813001038 |
Mailing Address | Practice Location Address |
---|---|
Shalen Kouk, MD 12700 Southfork Rd Ste 100, Saint Louis, MO 63128-3201 Ph: (314) 543-5284 | Shalen Kouk, MD 12700 Southfork Rd Ste 100, Saint Louis, MO 63128-3201 Ph: (314) 543-5284 |
Nathan M Fisher, D.O. Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 12639 Old Tesson Rd Ste 115, Saint Louis, MO 63128 Phone: 314-849-0311 Fax: 314-849-4423 | |
Dr. Wassim Mourad, MD, MHCM Orthopedic Surgery Medicare: Medicare Enrolled Practice Location: 1008 S Spring Ave Rm 1114, Saint Louis, MO 63110 Phone: 314-977-4102 | |
Dr. David William Barton, MD Orthopedic Surgery Medicare: Medicare Enrolled Practice Location: 4921 Parkview Pl, Dept Orthopaedic Surgery, Ste 6a/6b/12a, Saint Louis, MO 63110 Phone: 314-747-2551 Fax: 314-747-2598 | |
Dr. Moneer Moustafa Abouljoud, MD Orthopedic Surgery Medicare: Not Enrolled in Medicare Practice Location: 1 Barnes Jewish Hospital Plz, Saint Louis, MO 63110 Phone: 314-747-2835 | |
Dr. Brian Adams Kelly, MD Orthopedic Surgery Medicare: Medicare Enrolled Practice Location: 4921 Parkview Pl, Dept Orthopaedic Surgery, Ste 6a/6b/12a, Saint Louis, MO 63110 Phone: 314-747-2551 Fax: 314-747-2598 | |
Thomas John Revak, DO Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 1008 South Spring Avenue, Orthopaedic Surgery, Slucare Administrative Pavillion F, Saint Louis, MO 63110 Phone: 314-977-5350 | |
Dr. Nicholas Andrew Pallotta, MD Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 4921 Parkview Pl, Dept Orthopaedic Surgery, Ste 6a/6b/12a, Saint Louis, MO 63110 Phone: 314-747-2551 Fax: 314-747-2598 |