| Dr Enock Elie Faustin, MD | |
|
1102 W 32nd St, Joplin, MO 64804-3503 | |
| (417) 347-6611 | |
| (417) 347-6662 |
| Full Name | Dr Enock Elie Faustin |
|---|---|
| Gender | Male |
| Speciality | Diagnostic Radiology |
| Experience | 17 Years |
| Location | 1102 W 32nd St, Joplin, 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 |
|---|---|---|---|
| 1033440631 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2085R0202X | Radiology - Diagnostic Radiology | 04-473646 (Kansas) | Secondary |
| 2085R0202X | Radiology - Diagnostic Radiology | 2019007127 (Missouri) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Freeman Health System - Freeman West | Joplin, MO | Hospital |
| Freeman Neosho Hospital | Neosho, MO | Hospital |
| Labette Health | Parsons, KS | Hospital |
| Ozarks Community Hospital Of Gravette | Gravette, AR | Hospital |
| Integris Miami Hospital | Miami, OK | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Freeman-oak Hill Health System | 8325942253 | 341 |
| Freeman-oak Hill Health System | 8325942253 | 341 |
| Entity Name | Freeman-oak Hill Health System |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1679517023 PECOS PAC ID: 8325942253 Enrollment ID: O20040218000570 |
| Entity Name | Missouri Delta Medical Center |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1508967860 PECOS PAC ID: 1355252891 Enrollment ID: O20040308001306 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Enock Elie Faustin, MD Po Box 3810, Joplin, MO 64803-3810 Ph: (417) 347-6611 | Dr Enock Elie Faustin, MD 1102 W 32nd St, Joplin, MO 64804-3503 Ph: (417) 347-6611 |
Dr. John K Williams, MD Radiology Medicare: Not Enrolled in Medicare Practice Location: 1102 W 32nd St, Joplin, MO 64804 Phone: 417-347-1213 Fax: 417-347-6266 | |
Ms. Jane Seto, D.O. Radiology Medicare: Accepting Medicare Assignments Practice Location: 1102 W 32nd St, Joplin, MO 64804 Phone: 417-347-1111 | |
Yara Touma, MD Radiology Medicare: Not Enrolled in Medicare Practice Location: 1102 W 32nd St, Joplin, MO 64804 Phone: 417-347-1111 | |
Mohammad Hammadur Rahman, DO Radiology Medicare: Accepting Medicare Assignments Practice Location: 1102 W 32nd St, Joplin, MO 64804 Phone: 417-347-6611 | |
Luciano De Lima Villarinho, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 1102 W 32nd St, Joplin, MO 64804 Phone: 417-347-5521 | |
Dr. Richard J Price, M.D. Radiology Medicare: Medicare Enrolled Practice Location: 100 Mercy Way, Joplin, MO 64804 Phone: 417-781-2727 Fax: 760-520-8523 |