| Dr Hussam A Fustok, MD | |
|
272 Hospital Rd, Chillicothe, OH 45601-9031 | |
| (740) 779-8572 | |
| Not Available |
| Full Name | Dr Hussam A Fustok |
|---|---|
| Gender | Male |
| Speciality | Hospitalist |
| Experience | 10 Years |
| Location | 272 Hospital Rd, Chillicothe, Ohio |
| 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 |
|---|---|---|---|
| 1740669845 | NPI | - | NPPES |
| 1740669845 | Medicaid | MO | |
| 0299838 | Medicaid | OH |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 2022045087 (Missouri) | Secondary |
| 208M00000X | Hospitalist | 2022045087 (Missouri) | Secondary |
| 207R00000X | Internal Medicine | 35.134179 (Ohio) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Hannibal Regional Hospital | Hannibal, MO | Hospital |
| Parkland Health Center | Farmington, MO | Hospital |
| Southeasthealth | Cape girardeau, MO | Hospital |
| Blessing Hospital | Quincy, IL | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Hannibal Regional Healthcare System Inc | 1254236300 | 227 |
| Physician Groups Lc | 3072421254 | 455 |
| Southeast Missouri Hospital Physicians Llc | 9133024334 | 188 |
| Entity Name | Southeast Missouri Hospital Physicians Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1558311522 PECOS PAC ID: 9133024334 Enrollment ID: O20031201000775 |
| Entity Name | Hannibal Regional Healthcare System Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1003956095 PECOS PAC ID: 1254236300 Enrollment ID: O20031203000229 |
| 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 | Ssm Health Care Group |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1306589544 PECOS PAC ID: 0143608372 Enrollment ID: O20220531002655 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Hussam A Fustok, MD 1968 Fishinger Rd, Upper Arlington, OH 43221-1372 Ph: (281) 701-2926 | Dr Hussam A Fustok, MD 272 Hospital Rd, Chillicothe, OH 45601-9031 Ph: (740) 779-8572 |
Courtney E Little, D.O. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 4439 State Route 159 Ste 150, Chillicothe, OH 45601 Phone: 740-779-8840 | |
Dr. Talal Seoud, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 272 Hospital Rd Ste 225, Chillicothe, OH 45601 Phone: 740-779-8530 | |
Dr. Gaven Michael Harper, DO Internal Medicine Medicare: Medicare Enrolled Practice Location: 4439 State Route 159 Ste 150, Chillicothe, OH 45601 Phone: 740-779-7070 Fax: 740-779-8449 | |
Gopi K Gundumalla, MD Internal Medicine Medicare: Medicare Enrolled Practice Location: 4439 State Route 159, Ste 204, Chillicothe, OH 45601 Phone: 740-779-8728 Fax: 740-779-8729 | |
Reem Mohammad Kheiro Alshiyyab, MD Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 4439 State Route 159, Suite 150, Chillicothe, OH 45601 Phone: 740-779-7070 Fax: 740-779-8449 | |
Dr. Laure Olutoyosi, MD Internal Medicine Medicare: May Accept Medicare Assignments Practice Location: 272 Hospital Rd, Chillicothe, OH 45601 Phone: 214-693-0243 | |
Bharat Gautam, Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 272 Hospital Rd Ste 150, Chillicothe, OH 45601 Phone: 740-779-8268 |