| Sam Hawatmeh, M D, P C | |
|
12345 W Bend Dr Ste 304 Saint Louis MO 63128-2256 | |
| (314) 722-2500 | |
| (314) 645-8244 |
| Full Name | Sam Hawatmeh, M D, P C |
|---|---|
| Speciality | Internal Medicine |
| Location | 12345 W Bend Dr Ste 304, Saint Louis, Missouri |
| Authorized Official Name and Position | Isam S Hawatmeh (PRESIDENT) |
| Authorized Official Contact | 3146458200 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Sam Hawatmeh, M D, P C 12345 W Bend Dr Ste 304 Saint Louis MO 63128-2256 Ph: (314) 722-2500 | Sam Hawatmeh, M D, P C 12345 W Bend Dr Ste 304 Saint Louis MO 63128-2256 Ph: (314) 722-2500 |
| NPI Number | 1952345795 |
|---|---|
| Provider Enumeration Date | 06/15/2006 |
| Last Update Date | 09/10/2025 |
| Medicare PECOS PAC ID | 6800892654 |
|---|---|
| Medicare Enrollment ID | O20061018000430 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1952345795 | NPI | - | NPPES |
| 1125337 | Other | MO | FIRST HORIZON |
| 125694 | Other | MO | HEALTHLINK |
| 178V178 | Other | MO | GHP |
| CG6708 | Other | MO | RRMCR |
| 178V178 | Other | MO | CMR |
| 305572 | Other | MO | PARTNER HMO |
| STM040053 | Other | MO | MEDICAL COMP |
| 1140267 | Other | MO | CARE PARTNER |
| 4039765 | Other | MO | AETNA |
| 507424406 | Medicaid | MO | |
| E31401 | Other | MO | MERCY |
| 55772 | Other | MO | HEALTHCARE |
| PC23505 | Other | MO | CIGNA |
| STL040029 | Other | MO | UNITED HEALTHCARE |
| 26810 | Other | MO | BLUE |
| 26810 | Other | MO | BLUE CHOICE |
| 889041 | Other | MO | COMMUNITY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| Provider Name | Isam Salim Hawatmeh |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1811930092 PECOS PAC ID: 1153231964 Enrollment ID: I20100910001144 |
| Provider Name | Sara I Hawatmeh |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1710368584 PECOS PAC ID: 5092017848 Enrollment ID: I20190606001908 |
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