| Dr Samuel Selasie Mortoti, MBCHB | |
|
2000 Mclain St, Suite H, Newport, AR 72112-3661 | |
| (870) 523-2404 | |
| Not Available |
| Full Name | Dr Samuel Selasie Mortoti |
|---|---|
| Gender | Male |
| Speciality | Cardiovascular Disease (cardiology) |
| Experience | 22 Years |
| Location | 2000 Mclain St, Newport, Arkansas |
| 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 |
|---|---|---|---|
| 1154588762 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RC0000X | Internal Medicine - Cardiovascular Disease | E-7981 (Arkansas) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Saint Francis Medical Center | Peoria, IL | Hospital |
| Graham Hospital Association | Canton, IL | Hospital |
| St Mary Medical Center | Galesburg, IL | Hospital |
| Ottawa Regional Hospital Dba Osf Saint Elizabeth Mdl Ctr | Ottawa, IL | Hospital |
| Osf Saint Lukes Medical Center | Kewanee, IL | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Osf Multi-specialty Group | 3678889789 | 1848 |
| Entity Name | Graham Hospital Association |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1780692087 PECOS PAC ID: 2769375021 Enrollment ID: O20040510000873 |
| Entity Name | Osf Multi-specialty Group |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1922445527 PECOS PAC ID: 3678889789 Enrollment ID: O20150904000279 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Samuel Selasie Mortoti, MBCHB 5412 Deerfield Dr, Jonesboro, AR 72404-8467 Ph: (202) 290-4161 | Dr Samuel Selasie Mortoti, MBCHB 2000 Mclain St, Suite H, Newport, AR 72112-3661 Ph: (870) 523-2404 |
Mitchell Louis Keel, MD Cardiovascular Disease Medicare: Accepting Medicare Assignments Practice Location: 2200 Malcolm Ave, Newport, AR 72112 Phone: 870-512-2500 Fax: 870-512-2525 | |
Dr. William C. Cobb, MD Cardiovascular Disease Medicare: Accepting Medicare Assignments Practice Location: 1117 Mclain St, Newport, AR 72112 Phone: 870-523-9400 Fax: 870-523-9002 | |
Mr. Guilford M Dudley, MD Cardiovascular Disease Medicare: Not Enrolled in Medicare Practice Location: 1200 Mclain Street, Newport, AR 72112 Phone: 870-523-5272 Fax: 870-523-4292 |