| Dr Clarisse Tallah, MD | |
|
1333 S Sam Houston Blvd, Houston, MO 65483-2046 | |
| (417) 967-1263 | |
| (417) 967-1393 |
| Full Name | Dr Clarisse Tallah |
|---|---|
| Gender | Female |
| Speciality | Hospitalist |
| Experience | 11 Years |
| Location | 1333 S Sam Houston Blvd, Houston, 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 |
|---|---|---|---|
| 1609225499 | NPI | - | NPPES |
| 200101118 | Medicaid | MO |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 2021030592 (Missouri) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Berkshire Medical Center | Pittsfield, MA | Hospital |
| Fairview Hospital | Great barrington, MA | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Berkshire Medical Center Inc | 1355232711 | 165 |
| Entity Name | Berkshire Medical Center Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1295765261 PECOS PAC ID: 1355232711 Enrollment ID: O20040324000088 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Clarisse Tallah, MD 1333 S Sam Houston Blvd, Houston, MO 65483-2046 Ph: () - | Dr Clarisse Tallah, MD 1333 S Sam Houston Blvd, Houston, MO 65483-2046 Ph: (417) 967-1263 |
Dr. Kristina R Grant, DO Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1337 S Sam Houston Blvd, Houston, MO 65483 Phone: 417-967-5435 Fax: 417-967-5503 | |
Dr. William Ryan Errico, D.O. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1337 S Sam Houston Blvd, Houston, MO 65483 Phone: 417-967-5435 Fax: 417-967-5503 | |
Dr. William C. Wright, M.D. Family Medicine Medicare: Medicare Enrolled Practice Location: 1333 S Sam Houston Blvd, Houston, MO 65483 Phone: 417-967-1252 Fax: 417-967-0417 | |
Dr. Donald P. Schaefer Jr., D.O. Family Medicine Medicare: Medicare Enrolled Practice Location: 1333 S Sam Houston Blvd, Houston, MO 65483 Phone: 417-967-3311 Fax: 417-967-1234 | |
David W Dale, D.O. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 1340 S Sam Houston Blvd, Houston, MO 65483 Phone: 417-967-3755 Fax: 417-967-2630 | |
Dr. Lynn D. Hauenstein, D.O. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 1333 S Sam Houston Blvd, Houston, MO 65483 Phone: 417-967-3311 Fax: 417-967-3764 |