Shaukat A Thanawalla, MD | |
97 Saint Andrews Dr, Union, MO 63084-4546 | |
(636) 583-2946 | |
(636) 583-6131 |
Full Name | Shaukat A Thanawalla |
---|---|
Gender | Male |
Speciality | Internal Medicine |
Experience | 34 Years |
Location | 97 Saint Andrews Dr, Union, 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 |
---|---|---|---|
1457393134 | NPI | - | NPPES |
208846949 | Medicaid | MO |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | 105435 (Missouri) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Mercy Home Health | Saint louis, MO | Home health agency |
Mercy Hospice | Saint louis, MO | Hospice |
Loving Hands Hospice Llc | Warrenton, MO | Hospice |
Mercy Hospital Washington | Washington, MO | Hospital |
Mercy Hospital St Louis | Saint louis, MO | Hospital |
St Clair Nursing Center | Saint clair, MO | Nursing home |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Legacy Healthcare Services Inc | 2163339722 | 3341 |
Mercy Clinic Adult Hospitalists - Washington, Llc | 3577630540 | 26 |
Mercy Clinic East Communities | 7214827922 | 499 |
Entity Name | Mercy Hospitals East Communities |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1285664177 PECOS PAC ID: 3779479019 Enrollment ID: O20040224001164 |
Entity Name | Mercy Clinic East Communities |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1073739041 PECOS PAC ID: 7214827922 Enrollment ID: O20070521000058 |
Entity Name | Mercy Clinic Adult Hospitalists - Washington, Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1891943429 PECOS PAC ID: 3577630540 Enrollment ID: O20080917000782 |
Mailing Address | Practice Location Address |
---|---|
Shaukat A Thanawalla, MD 901 Patients First Dr, Washington, MO 63090-4700 Ph: (636) 239-7500 | Shaukat A Thanawalla, MD 97 Saint Andrews Dr, Union, MO 63084-4546 Ph: (636) 583-2946 |
Dr. Joi C Irving, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 1935 Prairie Dell Rd Ste 400, Union, MO 63084 Phone: 636-583-2508 | |
Dr. Myrna Ivelisse Gover Havener, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 1780 Old Highway 50 E, Union, MO 63084 Phone: 888-403-1071 | |
Dr. Stephanie Diane Bauerle, D.O. Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 1780 Old Us Highway 50 E, Suite 115, Union, MO 63084 Phone: 636-583-8555 Fax: 636-583-8559 |