| Mr Reza Jalal, MD | |
|
1300 N One Mile Rd, Suite 1, Dexter, MO 63841-1042 | |
| (573) 624-7788 | |
| Not Available |
| Full Name | Mr Reza Jalal |
|---|---|
| Gender | Male |
| Speciality | Internal Medicine |
| Experience | 32 Years |
| Location | 1300 N One Mile Rd, Dexter, Missouri |
| Accepts Medicare Assignments | May be. He may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1578528618 | NPI | - | NPPES |
| 341420 | Other | MO | HEALTHLINK |
| P00192519 | Other | MO | RAILROAD MEDICARE |
| 111316 | Other | MO | BCBS |
| 208949008 | Medicaid | MO |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 112378 (Missouri) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Elara Caring | Dexter, MO | Home health agency |
| St Luke's Hospice Services | Chesterfield, MO | Hospice |
| Southeasthealth Center Of Stoddard County | Dexter, MO | Hospital |
| Southeasthealth | Cape girardeau, MO | Hospital |
| Poplar Bluff Regional Medical Center | Poplar bluff, MO | Hospital |
| Saint Francis Medical Center | Cape girardeau, MO | Hospital |
| Piggott Community Hospital | Piggott, AR | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Health Facilities Rehab Services Inc | 3476679226 | 107 |
| Dexter Hospital, Llc | 6507834579 | 9 |
| Dexter Hospital, Inc | 7113838301 | 9 |
| Southeast Health Center Of Stoddard County Llc | 7315192515 | 30 |
| Entity Name | Physician Specialists Of St Lukes Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1235168410 PECOS PAC ID: 1557366960 Enrollment ID: O20060918000462 |
| Entity Name | Southeast Health Center Of Stoddard County Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1477997567 PECOS PAC ID: 7315192515 Enrollment ID: O20130605000128 |
| Mailing Address | Practice Location Address |
|---|---|
| Mr Reza Jalal, MD Po Box 368, Dexter, MO 63841 Ph: (573) 624-3165 | Mr Reza Jalal, MD 1300 N One Mile Rd, Suite 1, Dexter, MO 63841-1042 Ph: (573) 624-7788 |
Rubina A Mirza, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 1212 Saint Francis Dr, Dexter, MO 63841 Phone: 573-614-3600 Fax: 573-614-3601 |