Sriram Vissa, MD | |
12303 De Paul Dr, Bridgeton, MO 63044-2512 | |
(314) 317-0600 | |
(314) 317-0606 |
Full Name | Sriram Vissa |
---|---|
Gender | Male |
Speciality | Hospitalist |
Experience | 31 Years |
Location | 12303 De Paul Dr, Bridgeton, 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 |
---|---|---|---|
1558334573 | NPI | - | NPPES |
209220003 | Medicaid | MO | |
1558334573 | Medicaid | IL |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | 2004016757 (Missouri) | Primary |
208M00000X | Hospitalist | 2004016757 (Missouri) | Secondary |
Facility Name | Location | Facility Type |
---|---|---|
Ssm Depaul Health Center | Bridgeton, MO | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Sound Physicians Of Illinois Llc | 1557533734 | 205 |
Entity Name | Cogent Healthcare Of Missouri Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1780961599 PECOS PAC ID: 5597925099 Enrollment ID: O20120320000863 |
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 |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1326497587 PECOS PAC ID: 4587950589 Enrollment ID: O20160830002898 |
Entity Name | Sound Physicians Of Illinois Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1043598865 PECOS PAC ID: 1557533734 Enrollment ID: O20170519000666 |
Entity Name | Hospitalist Medicine Physicians Of Missouri - Bridgeton, Inc. |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1275012452 PECOS PAC ID: 2567713571 Enrollment ID: O20181001001537 |
Mailing Address | Practice Location Address |
---|---|
Sriram Vissa, MD 12101 Woodcrest Executive Dr, Suite 210, Saint Louis, MO 63141-5047 Ph: (314) 317-0600 | Sriram Vissa, MD 12303 De Paul Dr, Bridgeton, MO 63044-2512 Ph: (314) 317-0600 |
Robert M Fischer, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 12303 De Paul Dr, Radiology Dept, Bridgeton, MO 63044 Phone: 314-770-9393 Fax: 314-770-9997 | |
Dr. Ashfaq Ullah, MD Internal Medicine Medicare: Medicare Enrolled Practice Location: 12255 De Paul Dr Ste 500, Bridgeton, MO 63044 Phone: 314-209-5180 | |
Sean T Mclaughlin, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 12277 De Paul Dr, Suite 504, Bridgeton, MO 63044 Phone: 314-298-3893 Fax: 314-851-4408 | |
Dr. Raymond Frederick Mohrman Jr., MD Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 12266 De Paul Dr Ste 300, Bridgeton, MO 63044 Phone: 314-291-8824 | |
Navid S Siddiqui, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 12255 De Paul Dr Ste 600, Bridgeton, MO 63044 Phone: 314-209-5100 | |
Robert Byrne, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 12255 De Paul Dr, Suite 700, Bridgeton, MO 63044 Phone: 314-739-4166 Fax: 314-739-2485 | |
Melvin Boris Saltzman, D.O. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 12277 De Paul Dr, Ste 404, Bridgeton, MO 63044 Phone: 314-770-1000 Fax: 314-770-2456 |