| Joan H Mass, MD | |
|
300 1st Capitol Dr, Saint Charles, MO 63301-2844 | |
| (636) 947-5000 | |
| (314) 317-0606 |
| Full Name | Joan H Mass |
|---|---|
| Gender | Female |
| Speciality | Internal Medicine |
| Location | 300 1st Capitol Dr, Saint Charles, Missouri |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1295708162 | NPI | - | NPPES |
| 1295708162 | Medicaid | IL | |
| 207941121 | Medicaid | MO |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | R9A66 (Missouri) | Primary |
| 208M00000X | Hospitalist | R9A66 (Missouri) | Secondary |
| Entity Name | Adult Care Services Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1851343883 PECOS PAC ID: 0941251680 Enrollment ID: O20050210000002 |
| Entity Name | Southeastern Physician Services Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1083835441 PECOS PAC ID: 0042307852 Enrollment ID: O20160809000235 |
| Mailing Address | Practice Location Address |
|---|---|
| Joan H Mass, MD 12125 Woodcrest Executive Dr, Suite 220, Saint Louis, MO 63141-5001 Ph: (314) 317-0600 | Joan H Mass, MD 300 1st Capitol Dr, Saint Charles, MO 63301-2844 Ph: (636) 947-5000 |
Lawrence Stephen Tierney, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 400 1st Capitol Dr Ste 201, Saint Charles, MO 63301 Phone: 636-669-2332 | |
Syed A Khalid, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 300 1st Capitol Dr, Saint Charles, MO 63301 Phone: 636-647-5000 Fax: 636-947-5090 | |
Guangchen Zou, M.D. Internal Medicine Medicare: Medicare Enrolled Practice Location: 1820 Zumbehl Rd Ste 120, Saint Charles, MO 63303 Phone: 314-801-5350 Fax: 314-801-5323 | |
Dr. Stephen M Comens, M.D. Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 1551 Wall St, 4th Floor, Saint Charles, MO 63303 Phone: 636-669-2220 Fax: 636-669-2401 | |
Dr. Shephali Himanshu Wulff, D.O Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 330 1st Capitol Dr Ste 260, Saint Charles, MO 63301 Phone: 636-925-0900 | |
Keith Wickenhauser, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 711 Veterans Memorial Pkwy Ste 300, Saint Charles, MO 63303 Phone: 636-669-2350 | |
Jerome E Thurman, M.D.,F.A.C.E. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 711 Veterans Memorial Pkwy Ste 200, Saint Charles, MO 63303 Phone: 636-669-2219 Fax: 636-669-2380 |