Dr Bassam A Roukoz, MD - Medicare Cardiovascular Disease (cardiology) in Festus, MO

Dr Bassam A Roukoz, MD is a medicare enrolled "Internal Medicine - Interventional Cardiology" physician in Festus, Missouri. He graduated from medical school in 1995 and has 29 years of diverse experience with area of expertise as Cardiovascular Disease (cardiology). He is a member of the group practice Mercy Clinic Heart And Vascular Llc and his current practice location is 1390 Highway 61, Suite 3300, Festus, Missouri. You can reach out to his office (for appointments etc.) via phone at (636) 931-6302.

Dr Bassam A Roukoz is licensed to practice in Missouri (license number 190958) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1396744439.

Contact Information

Dr Bassam A Roukoz, MD
1390 Highway 61, Suite 3300,
Festus, MO 63028-4137
(636) 931-6302
(636) 931-3609



Physician's Profile

Full NameDr Bassam A Roukoz
GenderMale
SpecialityCardiovascular Disease (cardiology)
Experience29 Years
Location1390 Highway 61, Festus, Missouri
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Dr Bassam A Roukoz graduated from medical school in 1995
  NPI Data:
  • NPI Number: 1396744439
  • Provider Enumeration Date: 07/20/2005
  • Last Update Date: 06/26/2012
  Medicare PECOS Information:
  • PECOS PAC ID: 6002802071
  • Enrollment ID: I20040423000938

Medical Identifiers

Medical identifiers for Dr Bassam A Roukoz such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1396744439NPI-NPPES
208766204MedicaidMO
208766212MedicaidMO

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207RC0000XInternal Medicine - Cardiovascular Disease 2003007582 (Missouri)Secondary
207RI0011XInternal Medicine - Interventional Cardiology 190958 (Missouri)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Mercy Hospital JeffersonFestus, MOHospital
Parkland Health CenterFarmington, MOHospital
Iron County Medical CenterPilot knob, MOHospital
Perry County Memorial HospitalPerryville, MOHospital
Ste Genevieve County Memorial HospitalSainte genevieve, MOHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Mercy Clinic Heart And Vascular Llc882001620791

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Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Dr Bassam A Roukoz allows following entities to bill medicare on his behalf.
Entity NameMercy Clinic Heart And Vascular Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1932176401
PECOS PAC ID: 8820016207
Enrollment ID: O20051103000947

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Entity NameMercy Hospital Perry
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1063117158
PECOS PAC ID: 1153777826
Enrollment ID: O20231101001515

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Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Bassam A Roukoz is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Dr Bassam A Roukoz, MD
12855 N Forty Dr, Suite 300,
Saint Louis, MO 63141-8666

Ph: (314) 880-6100
Dr Bassam A Roukoz, MD
1390 Highway 61, Suite 3300,
Festus, MO 63028-4137

Ph: (636) 931-6302

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Internal Medicine Doctors in Festus, MO

Holly Ackermann, FNP
Internal Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 1153 E Gannon Dr, Festus, MO 63028
Phone: 636-282-0380    Fax: 636-282-0384
Karthik Iyer, MD
Internal Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 1400 Us Highway 61, Festus, MO 63028
Phone: 636-933-5337    
Joanne M Waltman, MD
Internal Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 1500 Calvary Church Rd, Festus, MO 63028
Phone: 636-933-2900    Fax: 636-933-8017
Dr. Manzoor Ahmad Tariq, MD
Internal Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 1071 Airport Road, Festus, MO 63028
Phone: 636-931-7111    Fax: 636-937-7486
Amit J Shah, M.D.
Internal Medicine
Medicare: Not Enrolled in Medicare
Practice Location: 1500 Calvary Church Rd, Festus, MO 63028
Phone: 636-933-2900    
Amanda E Avellone, MD
Internal Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 1390 Highway 61, Ste 2300, Festus, MO 63028
Phone: 636-937-3121    Fax: 636-937-4423
Dr. Edwardo Durante Verzola, M.D.
Internal Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 1400 Us Highway 61, Suite 250, Festus, MO 63028
Phone: 636-937-8675    Fax: 636-933-7981

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