| Andre P Bouhasin, MD | |
|
1151 Hazel Ln, Farmington, MO 63640-1920 | |
| (573) 705-7870 | |
| Not Available |
| Full Name | Andre P Bouhasin |
|---|---|
| Gender | Male |
| Speciality | Cardiovascular Disease (cardiology) |
| Experience | 25 Years |
| Location | 1151 Hazel Ln, Farmington, 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 |
|---|---|---|---|
| 1508808635 | NPI | - | NPPES |
| 947071631 | Other | MO | MERCY HEALTH |
| 426403 | Other | MO | HEALTHLINK |
| 206138802 | Medicaid | MO | |
| 124884 | Other | MO | BLUE CROSS |
| Facility Name | Location | Facility Type |
|---|---|---|
| Parkland Health Center | Farmington, MO | Hospital |
| Mercy Hospital Jefferson | Festus, MO | Hospital |
| Central Dupage Hospital | Winfield, IL | Hospital |
| Washington County Memorial Hospital | Potosi, MO | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Physician Groups Lc | 3072421254 | 455 |
| Entity Name | Physician Groups Lc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1285664268 PECOS PAC ID: 3072421254 Enrollment ID: O20040220001157 |
| Mailing Address | Practice Location Address |
|---|---|
| Andre P Bouhasin, MD 1151 Hazel Ln, Farmington, MO 63640-1920 Ph: (573) 701-0090 | Andre P Bouhasin, MD 1151 Hazel Ln, Farmington, MO 63640-1920 Ph: (573) 705-7870 |
Mark M Chin, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 1103 W Liberty St, Farmington, MO 63640 Phone: 573-760-8488 Fax: 573-756-3793 | |
Amresh Kumar, MD Internal Medicine Medicare: Medicare Enrolled Practice Location: 1103 W Liberty St, Farmington, MO 63640 Phone: 573-701-7227 | |
Evan Grant Williams, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 1101 W Liberty St, Farmington, MO 63640 Phone: 573-756-6751 | |
Dr. Sunil Gupta Chand, MD Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 1031 E Karsch Blvd, Farmington, MO 63640 Phone: 573-756-7880 | |
John A Hartman, DO Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 1103 Weber Rd, Ste 101, Farmington, MO 63640 Phone: 573-756-6438 Fax: 573-756-6439 | |
Susan K Cox, MD Internal Medicine Medicare: Medicare Enrolled Practice Location: 1580 West Columbia St., Farmington, MO 63640 Phone: 573-760-1365 | |
John David Griffin, Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 12 Annie Dr, Farmington, MO 63640 Phone: 573-915-4880 |