| Shi Luo, DO | |
|
252 Mchenry St, Burlington, WI 53105-1828 | |
| (262) 767-6000 | |
| Not Available |
| Full Name | Shi Luo |
|---|---|
| Gender | Male |
| Speciality | Internal Medicine |
| Experience | 4 Years |
| Location | 252 Mchenry St, Burlington, Wisconsin |
| 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 |
|---|---|---|---|
| 1558010561 | NPI | - | NPPES |
| 100424468 | Medicaid | WI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | E-18973 (Arkansas) | Secondary |
| 208M00000X | Hospitalist | 82152-21 (Wisconsin) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| St Bernards Medical Center | Jonesboro, AR | Hospital |
| St Bernards Five Rivers Medical Center | Pocahontas, AR | Hospital |
| Arkansas Methodist Medical Center | Paragould, AR | Hospital |
| Crossridge Community Hospital | Wynne, AR | Hospital |
| Forrest City Medical Center | Forrest city, AR | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| St Bernards Hospital Inc. | 0941105480 | 187 |
| Five Rivers Medical Center Inc | 1456540194 | 37 |
| St Bernard Community Hospital Corporation | 7810897485 | 12 |
| Entity Name | St Bernard Community Hospital Corporation |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1114937174 PECOS PAC ID: 7810897485 Enrollment ID: O20040110000022 |
| Entity Name | St Bernard Community Hospital Corporation |
|---|---|
| Entity Type | Part A Provider - Critical Access Hospital |
| Entity Identifiers | NPI Number: 1962410183 PECOS PAC ID: 7810897485 Enrollment ID: O20071010000024 |
| Entity Name | St Bernards Hospital Inc. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1396053096 PECOS PAC ID: 0941105480 Enrollment ID: O20101123000105 |
| Entity Name | Five Rivers Medical Center Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1376845099 PECOS PAC ID: 1456540194 Enrollment ID: O20110321000471 |
| Mailing Address | Practice Location Address |
|---|---|
| Shi Luo, DO Po Box 735044, Chicago, IL 60673-5044 Ph: (800) 326-2250 | Shi Luo, DO 252 Mchenry St, Burlington, WI 53105-1828 Ph: (262) 767-6000 |
Dr. Arti Patel, DO Hospitalist Medicare: Accepting Medicare Assignments Practice Location: 252 Mchenry St, Burlington, WI 53105 Phone: 262-767-6000 |