| Ilia Rosa Sumoza, MD | |
|
1011 Bowles Ave, Suite G 50, Fenton, MO 63026-2395 | |
| (636) 496-4640 | |
| (636) 496-4962 |
| Full Name | Ilia Rosa Sumoza |
|---|---|
| Gender | Female |
| Speciality | Hematology/oncology |
| Experience | 23 Years |
| Location | 1011 Bowles Ave, Fenton, Missouri |
| 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 |
|---|---|---|---|
| 1548447113 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RH0003X | Internal Medicine - Hematology & Oncology | 2011030407 (Missouri) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Advocate Illinois Masonic Medical Center | Chicago, IL | Hospital |
| Advocate Good Samaritan Hospital | Downers grove, IL | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Advocate Health And Hospitals Corporation | 7810800935 | 2682 |
| Entity Name | Advocate Health And Hospitals Corporation |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1700824455 PECOS PAC ID: 7810800935 Enrollment ID: O20031106000064 |
| Mailing Address | Practice Location Address |
|---|---|
| Ilia Rosa Sumoza, MD 1011 Bowles Ave, Suite G 50, Fenton, MO 63026-2395 Ph: (636) 496-4640 | Ilia Rosa Sumoza, MD 1011 Bowles Ave, Suite G 50, Fenton, MO 63026-2395 Ph: (636) 496-4640 |
Dr. Jeffrey P Wilson, MD Hematology & Oncology Medicare: Accepting Medicare Assignments Practice Location: 1011 Bowles Ave Ste 300, Fenton, MO 63026 Phone: 636-496-5065 | |
Dr. Gloria Yetunde Ojerinde, MD Hematology & Oncology Medicare: Not Enrolled in Medicare Practice Location: 1015 Bowles Ave, Fenton, MO 63026 Phone: 636-496-2000 | |
Dr. Aman Kanti Patel, DO Hematology & Oncology Medicare: Medicare Enrolled Practice Location: 1011 Bowles Ave Ste 300, Fenton, MO 63026 Phone: 636-496-5065 | |
Dr. Gregorius Resuma Penilla, M.D. Hematology & Oncology Medicare: Accepting Medicare Assignments Practice Location: 1345 Smizer Mill Rd Ste 1100, Fenton, MO 63026 Phone: 636-496-5040 | |
Dr. Stephanie Jean Becker-koepke, M.D. Hematology & Oncology Medicare: Accepting Medicare Assignments Practice Location: 1011 Bowles Ave Ste G50, Fenton, MO 63026 Phone: 636-496-4640 | |
Dr. Jeffrey J Hallazgo, M.D. Hematology & Oncology Medicare: Accepting Medicare Assignments Practice Location: 714 Gravois Rd, Suite 100, Fenton, MO 63026 Phone: 636-326-6100 Fax: 636-326-6110 | |
Dr. Mansoor Ul Haq, M.D. Hematology & Oncology Medicare: Accepting Medicare Assignments Practice Location: 1011 Bowles Ave Ste G50, Fenton, MO 63026 Phone: 636-496-4640 |