| Dr Marc F Clemente, MD | |
|
510 S Kingshighway Blvd, Dept Radiology, Saint Louis, MO 63110-1016 | |
| (314) 362-7200 | |
| (314) 747-4189 |
| Full Name | Dr Marc F Clemente |
|---|---|
| Gender | Male |
| Speciality | Diagnostic Radiology |
| Experience | 29 Years |
| Location | 510 S Kingshighway Blvd, Saint Louis, Missouri |
| Accepts Medicare Assignments | May be. He may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1073576484 | NPI | - | NPPES |
| 205807407 | Medicaid | MO | |
| Q050825 | Medicaid | TN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2085R0202X | Radiology - Diagnostic Radiology | 35422 (Tennessee) | Secondary |
| 2085R0202X | Radiology - Diagnostic Radiology | 112704 (Missouri) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Phelps County Regional Medical Center | Rolla, MO | Hospital |
| Christian Hospital Northeast | Saint louis, MO | Hospital |
| Henry County Medical Center | Paris, TN | Hospital |
| Saint Francis Bartlett Medical Center | Bartlett, TN | Hospital |
| Dyersburg Regional Medical Center | Dyersburg, TN | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Usa Radiology Of Pennsylvania Llc | 0345594388 | 23 |
| Missouri Delta Medical Center | 1355252891 | 128 |
| Usa Radiology Management Solutions Llc | 3577780337 | 28 |
| Miracl Llc | 4587908041 | 84 |
| Vanderbilt University Medical Center | 5092023416 | 2960 |
| Savannah Chatham Imaging Llc | 6800890245 | 35 |
| Washington University | 9830008770 | 2782 |
| Memphis Physicians Radiological Group Pc | 9830123736 | 55 |
| Vanderbilt University Medical Center | 5092023416 | 2960 |
| Memphis Physicians Radiological Group Pc | 9830123736 | 55 |
| Entity Name | Washington University |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1962442475 PECOS PAC ID: 9830008770 Enrollment ID: O20031204000987 |
| 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 |
| Entity Name | Pemiscot County Memorial Hospital |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1578668661 PECOS PAC ID: 8426024159 Enrollment ID: O20070326000204 |
| Entity Name | Usa Radiology Management Solutions Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1689091076 PECOS PAC ID: 3577780337 Enrollment ID: O20141024001746 |
| Entity Name | Miracl Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1205304300 PECOS PAC ID: 4587908041 Enrollment ID: O20181210003487 |
| Entity Name | Usa Radiology Of Pennsylvania Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1164907655 PECOS PAC ID: 0345594388 Enrollment ID: O20190129002903 |
| Entity Name | Savannah Chatham Imaging Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1992721278 PECOS PAC ID: 6800890245 Enrollment ID: O20200505001065 |
| Entity Name | Memphis Physicians Radiological Group Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1134231574 PECOS PAC ID: 9830123736 Enrollment ID: O20230712000807 |
| Entity Name | Vanderbilt University Medical Center |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1104202761 PECOS PAC ID: 5092023416 Enrollment ID: O20230731002509 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Marc F Clemente, MD Po Box 7412011, Chicago, IL 60674-2011 Ph: (314) 362-7200 | Dr Marc F Clemente, MD 510 S Kingshighway Blvd, Dept Radiology, Saint Louis, MO 63110-1016 Ph: (314) 362-7200 |
Dr. Hilton I Price, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 11133 Dunn Rd, Dept Radiology, Saint Louis, MO 63136 Phone: 314-362-7200 Fax: 314-747-4189 | |
Benjamin Lee, MD Radiology Medicare: Not Enrolled in Medicare Practice Location: 510 S Kingshighway Blvd, Saint Louis, MO 63110 Phone: 314-362-7092 | |
Dr. Kyle Anthony O'blanc, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 1825 High Oak Rd, Saint Louis, MO 63131 Phone: 504-710-8234 | |
Dr. Michael D. Bazzani, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 10010 Kennerly Rd, Saint Louis, MO 63128 Phone: 314-525-1165 Fax: 314-525-1485 | |
Dr. Mahad Anwaar Minhas, MD Radiology Medicare: May Accept Medicare Assignments Practice Location: 510 S Kingshighway Blvd, Dept Radiology, Saint Louis, MO 63110 Phone: 314-362-7200 Fax: 314-747-4189 | |
Dr. Chelsea Renee Schmitt, MD Radiology Medicare: Medicare Enrolled Practice Location: 510 S Kingshighway Blvd, Dept Radiology, Saint Louis, MO 63110 Phone: 314-362-7200 Fax: 314-747-4189 | |
Dr. Ziad Walid Tarcha, MD Radiology Medicare: May Accept Medicare Assignments Practice Location: 510 S Kingshighway Blvd, Dept Radiology, Saint Louis, MO 63110 Phone: 314-362-7200 Fax: 314-747-4189 |