Sumera Yaqub, MD | |
12303 De Paul Dr, Bridgeton, MO 63044-2512 | |
(314) 317-0600 | |
(314) 317-0606 |
Full Name | Sumera Yaqub |
---|---|
Gender | Female |
Speciality | Internal Medicine |
Experience | 30 Years |
Location | 12303 De Paul Dr, Bridgeton, Missouri |
Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1356653463 | NPI | - | NPPES |
1356653463 | Medicaid | MO |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | 2010014300 (Missouri) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Progress West Hospital | O fallon, MO | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Southeastern Physician Services Pc | 0042307852 | 499 |
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 | Impact Physician Group Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1114428612 PECOS PAC ID: 6204199086 Enrollment ID: O20180920002447 |
Entity Name | Impact Physician Group Missouri Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1962971531 PECOS PAC ID: 4082958574 Enrollment ID: O20181211001514 |
Mailing Address | Practice Location Address |
---|---|
Sumera Yaqub, MD 12101 Woodcrest Executive Dr Ste 210, Saint Louis, MO 63141-5047 Ph: (314) 317-0600 | Sumera Yaqub, 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 |