| Shaukat A Thanawalla, MD | |
|
97 Saint Andrews Dr, Union, MO 63084-4546 | |
| (636) 583-2946 | |
| (636) 583-6131 |
| Full Name | Shaukat A Thanawalla |
|---|---|
| Gender | Male |
| Speciality | Internal Medicine |
| Experience | 35 Years |
| Location | 97 Saint Andrews Dr, Union, 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 |
|---|---|---|---|
| 1457393134 | NPI | - | NPPES |
| 208846949 | Medicaid | MO |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 105435 (Missouri) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Mercy Home Health | Saint louis, MO | Home health agency |
| Mercy Hospice | Saint louis, MO | Hospice |
| Mercy Hospital Washington | Washington, MO | Hospital |
| Mercy Hospital St Louis | Saint louis, MO | Hospital |
| St Clair Nursing Center | Saint clair, MO | Nursing home |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Mercy Clinic Adult Hospitalists - Washington, Llc | 3577630540 | 29 |
| Mercy Clinic East Communities | 7214827922 | 535 |
| Entity Name | Mercy Hospitals East Communities |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1285664177 PECOS PAC ID: 3779479019 Enrollment ID: O20040224001164 |
| Entity Name | Mercy Clinic East Communities |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1043574940 PECOS PAC ID: 7214827922 Enrollment ID: O20070521000058 |
| Entity Name | Mercy Clinic Adult Hospitalists - Washington, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1891943429 PECOS PAC ID: 3577630540 Enrollment ID: O20080917000782 |
| Mailing Address | Practice Location Address |
|---|---|
| Shaukat A Thanawalla, MD 901 Patients First Dr, Washington, MO 63090-4700 Ph: (636) 239-7500 | Shaukat A Thanawalla, MD 97 Saint Andrews Dr, Union, MO 63084-4546 Ph: (636) 583-2946 |
Dr. Joi C Irving, M.D. Internal Medicine Medicare: Medicare Enrolled Practice Location: 1935 Prairie Dell Rd Ste 400, Union, MO 63084 Phone: 636-583-2508 | |
Dr. Myrna Ivelisse Gover Havener, M.D. Internal Medicine Medicare: Medicare Enrolled Practice Location: 1780 Old Highway 50 E, Union, MO 63084 Phone: 888-403-1071 | |
Dr. Stephanie Diane Bauerle, D.O. Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 1780 Old Us Highway 50 E, Suite 115, Union, MO 63084 Phone: 636-583-8555 Fax: 636-583-8559 |