| Dr Shaun A Ross, MD | |
|
225 Physicians Park Ste 400, Poplar Bluff, MO 63901-3923 | |
| (573) 727-5500 | |
| (573) 727-5599 |
| Full Name | Dr Shaun A Ross |
|---|---|
| Gender | Male |
| Speciality | Pediatric Medicine |
| Experience | 29 Years |
| Location | 225 Physicians Park Ste 400, Poplar Bluff, 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 |
|---|---|---|---|
| 1740268333 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2080P0205X | Pediatrics - Pediatric Endocrinology | 2004009708 (Missouri) | Secondary |
| 208000000X | Pediatrics | 2004009708 (Missouri) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Saint Francis Medical Center | Cape girardeau, MO | Hospital |
| Poplar Bluff Regional Medical Center | Poplar bluff, MO | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Internal Medicine Associates Of Southeast Missouri Llc | 5991615072 | 40 |
| Saint Francis Medical Center | 9931007929 | 408 |
| Entity Name | Saint Francis Medical Center |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1356304489 PECOS PAC ID: 9931007929 Enrollment ID: O20040107000140 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Shaun A Ross, MD Po Box 801143, Kansas City, MO 64180-1143 Ph: (573) 331-5583 | Dr Shaun A Ross, MD 225 Physicians Park Ste 400, Poplar Bluff, MO 63901-3923 Ph: (573) 727-5500 |
Sushmita Thota, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 2879 James Blvd, Poplar Bluff, MO 63901 Phone: 214-566-8275 | |
Dr. Rangsan Suvan, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 2500 Lucy Lee Parkway, Poplar Bluff, MO 63901 Phone: 573-686-2585 Fax: 573-686-4415 | |
Dr. Claudia Karin Preuschoff, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 225 Physicians Park Ste 400, Poplar Bluff, MO 63901 Phone: 573-727-5500 Fax: 573-727-5599 | |
Gift Adanma Onyenso, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 225 Physicians Park Ste 400, Poplar Bluff, MO 63901 Phone: 573-727-5500 Fax: 573-727-5599 | |
Dr. Debra Ann Robertson, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 225 Physicians Park Ste 400, Poplar Bluff, MO 63901 Phone: 573-727-5500 Fax: 573-727-5599 | |
Mr. Joseph P Fernando, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 2340 Katy Ln, Suite 120, Poplar Bluff, MO 63901 Phone: 573-776-7393 Fax: 573-776-7396 |