| Dr Juletta Avagyan, MD | |
|
1 Memorial Dr, Alton, IL 62002 | |
| (618) 463-7240 | |
| (618) 463-7216 |
| Full Name | Dr Juletta Avagyan |
|---|---|
| Gender | Female |
| Speciality | Hospitalist |
| Experience | 32 Years |
| Location | 1 Memorial Dr, Alton, Illinois |
| 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 |
|---|---|---|---|
| 1013278944 | NPI | - | NPPES |
| 207QOOOOOX | Other | VA | FAMILY MEDICINE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 2015026284 (Missouri) | Secondary |
| 208M00000X | Hospitalist | 2015026284 (Missouri) | Secondary |
| 208M00000X | Hospitalist | 036-144670 (Illinois) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Missouri Baptist Medical Center | Town and country, MO | Hospital |
| Barnes-jewish West County Hospital | Creve coeur, MO | Hospital |
| Barnes Jewish Hospital | Saint louis, MO | Hospital |
| Parkland Health Center | Farmington, MO | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Physician Groups Lc | 3072421254 | 455 |
| Fairview Heights Medical Group Sc | 6800784083 | 386 |
| Entity Name | Hermann Area Hospital District |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1083749188 PECOS PAC ID: 5496669962 Enrollment ID: O20031118000740 |
| 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 |
| Entity Name | Galen Inpatient Physicians Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1538714688 PECOS PAC ID: 3678464633 Enrollment ID: O20191115000362 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Juletta Avagyan, MD 1 Memorial Dr, Alton, IL 62002-6722 Ph: (618) 463-7240 | Dr Juletta Avagyan, MD 1 Memorial Dr, Alton, IL 62002 Ph: (618) 463-7240 |
Winnie Shaba, MD Hospitalist Medicare: Not Enrolled in Medicare Practice Location: 1 Memorial Dr, Alton, IL 62002 Phone: 618-463-7240 Fax: 618-463-7216 | |
Ahmad Osama Rez, M.D Hospitalist Medicare: Accepting Medicare Assignments Practice Location: 1 Saint Anthonys Way, Alton, IL 62002 Phone: 314-317-0600 Fax: 314-317-0606 | |
Dr. John Albert Richards Jr., M.D. Hospitalist Medicare: Accepting Medicare Assignments Practice Location: 1 Memorial Dr, Alton, IL 62002 Phone: 618-463-7240 Fax: 618-463-7216 | |
Dr. Sewuese Akuse, MD Hospitalist Medicare: May Accept Medicare Assignments Practice Location: 1 Memorial Dr, Alton, IL 62002 Phone: 618-463-7240 Fax: 618-463-7216 | |
Dr. Nazanin Kheirkhahan, MD Hospitalist Medicare: Accepting Medicare Assignments Practice Location: 1 Memorial Dr, Alton, IL 62002 Phone: 618-463-7240 Fax: 618-463-7216 |