| Sunil Sam, PMHNP | |
|
1400 Us Highway 61, Festus, MO 63028-4100 | |
| (314) 251-6663 | |
| Not Available |
| Full Name | Sunil Sam |
|---|---|
| Gender | Male |
| Speciality | Nurse Practitioner |
| Experience | 8 Years |
| Location | 1400 Us Highway 61, Festus, 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 |
|---|---|---|---|
| 1366934176 | NPI | - | NPPES |
| Facility Name | Location | Facility Type |
|---|---|---|
| Mercy Hospital Jefferson | Festus, MO | Hospital |
| St Bernard Hospital | Chicago, IL | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Mercy Clinic Adult Hospitalists Jefferson Llc | 8628205598 | 49 |
| Entity Name | Mercy Clinic Adult Hospitalists - St. Louis, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1841235108 PECOS PAC ID: 6002809944 Enrollment ID: O20040406001004 |
| 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 |
| Entity Name | St Anthonys Physician Organization Hospitalist Services Lc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1407216336 PECOS PAC ID: 5092980656 Enrollment ID: O20111208000771 |
| Entity Name | Mercy Clinic Adult Hospitalists Jefferson Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1083052492 PECOS PAC ID: 8628205598 Enrollment ID: O20131220001798 |
| Mailing Address | Practice Location Address |
|---|---|
| Sunil Sam, PMHNP 136 S Windham Ln, Bloomingdale, IL 60108-2536 Ph: (630) 765-4073 | Sunil Sam, PMHNP 1400 Us Highway 61, Festus, MO 63028-4100 Ph: (314) 251-6663 |
Blair A Theis, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 35 Goodwin Dr, Festus, MO 63028 Phone: 636-933-4141 Fax: 636-931-7007 | |
Zachary Vaugh, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1078 Eagle Valley Dr, Festus, MO 63028 Phone: 314-488-3464 | |
Louise Jadwisiak, RN,CPNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 35 Goodwin Dr, Festus, MO 63028 Phone: 636-933-4141 Fax: 636-931-7007 | |
Tamra Lynn Crouch, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1400 Us Highway 61, Festus, MO 63028 Phone: 636-933-5337 | |
Ms. Michele J Soest, APRN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 627 Westwood Dr S, Festus, MO 63028 Phone: 636-931-9066 | |
Jennifer Teresa French, A-GNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1400 Us Highway 61 Ste 240a, Festus, MO 63028 Phone: 636-937-3337 Fax: 636-931-7671 | |
Susan Elizabeth Moser, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1400 Us Highway 61, Suite G20, Festus, MO 63028 Phone: 636-933-8091 Fax: 636-933-8090 |