| Housam Soukieh, MD | |
|
1513 Union Ave, Suite 1600, Moberly, MO 65270-9402 | |
| (660) 263-2400 | |
| (660) 263-5610 |
| Full Name | Housam Soukieh |
|---|---|
| Gender | Male |
| Speciality | Internal Medicine |
| Experience | 37 Years |
| Location | 1513 Union Ave, Moberly, 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 |
|---|---|---|---|
| 1568422673 | NPI | - | NPPES |
| 036101288 | Medicaid | IL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RP1001X | Internal Medicine - Pulmonary Disease | 036-101288 (Illinois) | Secondary |
| 207RP1001X | Internal Medicine - Pulmonary Disease | 2014021757 (Missouri) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Carroll County Memorial Hospital | Carrollton, MO | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Carroll County Memorial Hospital | 2860485638 | 65 |
| Entity Name | Carroll County Memorial Hospital |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1528067113 PECOS PAC ID: 2860485638 Enrollment ID: O20040407000120 |
| Entity Name | Ssm Regional Health Services |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1649217837 PECOS PAC ID: 8921917352 Enrollment ID: O20070213000635 |
| Entity Name | Boone Physician Services Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1760893259 PECOS PAC ID: 6507090644 Enrollment ID: O20131003000535 |
| Mailing Address | Practice Location Address |
|---|---|
| Housam Soukieh, MD 1513 Union Ave, Suite 1600, Moberly, MO 65270-9402 Ph: (660) 263-2400 | Housam Soukieh, MD 1513 Union Ave, Suite 1600, Moberly, MO 65270-9402 Ph: (660) 263-2400 |
Jessica Winn, M.D. Pulmonary Disease Medicare: Accepting Medicare Assignments Practice Location: 1513 Union Ave Ste 1500, Moberly, MO 65270 Phone: 660-263-0524 Fax: 660-263-0524 | |
Dr. Catherine M Monti, MD, MPH Pulmonary Disease Medicare: Not Enrolled in Medicare Practice Location: 1517 Union Ave, Suite D, Moberly, MO 65270 Phone: 660-263-1400 Fax: 660-263-1535 | |
Prasanna Manjini Sengodan, Pulmonary Disease Medicare: Accepting Medicare Assignments Practice Location: 1513 Union Ave Ste 2700, Moberly, MO 65270 Phone: 660-263-0524 Fax: 660-372-6407 | |
Dr. Sanjeev Dhari Ravipudi, MD Pulmonary Disease Medicare: Accepting Medicare Assignments Practice Location: 2103 Silva Ln, Moberly, MO 65270 Phone: 660-616-0022 | |
Dr. Justin Gary Lamonda, MD Pulmonary Disease Medicare: Not Enrolled in Medicare Practice Location: 1145 S Morley St, Moberly, MO 65270 Phone: 660-263-7062 | |
Syed Rashid, M.D. Pulmonary Disease Medicare: Accepting Medicare Assignments Practice Location: 1529 Union Ave Ste A, Moberly, MO 65270 Phone: 660-269-8550 Fax: 660-269-8555 |