Samer Thanavaro, MD | |
11125 Dunn Rd, Suite 204, Saint Louis, MO 63136-6132 | |
(314) 839-5522 | |
(314) 839-5351 |
Full Name | Samer Thanavaro |
---|---|
Gender | Male |
Speciality | Cardiovascular Disease (cardiology) |
Experience | 51 Years |
Location | 11125 Dunn Rd, 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 |
---|---|---|---|
1619960606 | NPI | - | NPPES |
060067960 | Other | IL | ILRRMCR |
110099256 | Other | MO | MORRMCR |
431098908 | Other | TRICARE | |
2500083 | Other | UHC | |
A13504 | Other | MERCY | |
2333V3831 | Other | GHP/CMR | |
000000012939 | Other | ESSENCE | |
7268V8816 | Other | HCUSA | |
200998417 | Medicaid | MO | |
119171 | Other | HLNK | |
1259965 | Other | CIGNA | |
43336V30946 | Other | HLTHPART | |
4037808 | Other | AETNA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207RC0000X | Internal Medicine - Cardiovascular Disease | 036072313 (Illinois) | Secondary |
207RC0000X | Internal Medicine - Cardiovascular Disease | R6765 (Missouri) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Ssm St Joseph Hospital West | Lake saint louis, MO | Hospital |
Ssm St Joseph Health Center | Saint charles, MO | Hospital |
Alton Memorial Hospital | Alton, IL | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Ssm Medical Group Inc | 6608776299 | 491 |
Alton Memorial Physician Billing Services Llc | 9436389442 | 19 |
Entity Name | Ssm Health Care St Louis |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1275586174 PECOS PAC ID: 7810800737 Enrollment ID: O20031118000393 |
Entity Name | Ssm Medical Group Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1700966207 PECOS PAC ID: 6608776299 Enrollment ID: O20040729001034 |
Entity Name | St Louis Cardiology Consultants Ltd |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1801831045 PECOS PAC ID: 6608769245 Enrollment ID: O20050302000525 |
Mailing Address | Practice Location Address |
---|---|
Samer Thanavaro, MD 11125 Dunn Rd, Suite 204, Saint Louis, MO 63136-6132 Ph: (314) 839-5522 | Samer Thanavaro, MD 11125 Dunn Rd, Suite 204, Saint Louis, MO 63136-6132 Ph: (314) 839-5522 |
Dr. Isik Turker, MD Cardiovascular Disease Medicare: Medicare Enrolled Practice Location: 4921 Parkview Pl, Div Im Cardiology, Ste 8b, Saint Louis, MO 63110 Phone: 314-362-1291 Fax: 314-362-4278 | |
Conor Mccartney, M.D. Cardiovascular Disease Medicare: Accepting Medicare Assignments Practice Location: 915 N Grand Blvd, Saint Louis, MO 63106 Phone: 314-652-4100 | |
Dr. Faris Adam Bakeer, MD Cardiovascular Disease Medicare: Accepting Medicare Assignments Practice Location: 1 Barnes Jewish Hospital Plz, Div Im Hospitalist, Saint Louis, MO 63110 Phone: 314-362-1700 Fax: 314-362-9878 | |
Rehan Rais, M.D. M.B.,B.S. Cardiovascular Disease Medicare: Medicare Enrolled Practice Location: 660 S Euclid Ave, Saint Louis, MO 63110 Phone: 314-362-5000 | |
Nathan Farkas, M.D. Cardiovascular Disease Medicare: Not Enrolled in Medicare Practice Location: 1 Barnes Jew Hosp Plz, Saint Louis, MO 63110 Phone: 314-362-1930 | |
Dr. Nicole Foley, M.D. Cardiovascular Disease Medicare: Medicare Enrolled Practice Location: 1 Barnes Jewish Hospital Plz, Saint Louis, MO 63110 Phone: 314-362-5000 | |
Soumojit Ghosh, Cardiovascular Disease Medicare: Accepting Medicare Assignments Practice Location: 3660 Vista Ave, Saint Louis, MO 63110 Phone: 314-977-6100 Fax: 314-977-6164 |