Dr. Rebecca Roelofs Hartog

MD | Pediatric Cardiology | Female

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Complete Profile:

Dr. Rebecca Roelofs Hartog basic information including her official name, gender, specialization, credentials etc. are as mentioned below.

Specialization :	Pediatrics Pediatric Cardiology
Provider Name :	Dr. Rebecca Roelofs Hartog
Credential :	MD
Gender :	Female

Business Address:

Dr. Rebecca Roelofs Hartog address, contact phone number and fax are as below. Patients can directly walkin to the clinic or can call on the below given phone number for appointment.

Primary Address :	1 Childrens Pl, Div Ped Cardiology Saint Louis, MO, 63110-1002 United States
Phone Number :	314-454-6095
Fax Number :	314-454-2561

Professional Identification Codes:

NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). NPI details are as mentioned below.

NPI Number :	1417375791
NPI Entity Type :	Individual
First Enrolment Date :	03 Apr, 2014
Last Updated On :	15 Nov, 2021

Medicare Participation:

Dr. Rebecca Roelofs Hartog participates in medicare and accepts medicare insurance either directly or through association with group practice or medical facility.

Medicare PECOS ID :	9436378254
Medicare Enrollment ID :	I20210817000998
Primary Specialty :	Pediatric Medicine
Medical School :	University Of Pittsburgh School Of Medicine
Graduation Year :	2014
Accepts Medicare?	Yes. Dr. Rebecca Roelofs Hartog accepts medicare insurance.

Group Practice Association:

Dr. Rebecca Roelofs Hartog is associated with following Group Practice Organizations. Group practices are practice of medicine by a group of physicians who share their premises and other resources. Following list states all the group name with which Dr. Rebecca Roelofs Hartog is associated with along with the number of members in that group. She may also accept medicare indirectly via these group practices.

Organisation Name :	Group Practice ID	No. of Members	Practice Address	Group Accepts Medicare
Washington University	9830008770	2383	1 Childrens Pl Saint Louis, MO - 631101002 Ph: 3142731006	Yes
Washington University	9830008770	2383	660 S Euclid Campus Box 8015 Department Of Internal Medicine Saint Louis, MO - 631101010 Ph: 3122730500	Yes

Licenses and Specialities:

Physicians/Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Dr. Rebecca Roelofs Hartog are as mentioned. Primary taxonomy code for Dr. Rebecca Roelofs Hartog, MD is 2080P0202X (Pediatrics Pediatric Cardiology).

Taxonomy Code	Speciality	Primary	License No.	State
207R00000X	Internal Medicine	No	2021018955	MO
207RC0000X	Internal Medicine Cardiovascular Disease	No	2021018955	MO
208000000X	Pediatrics	No	2021018955	MO
2080P0202X	Pediatrics Pediatric Cardiology	Yes	2021018955	MO
207RA0002X	Internal Medicine Adult Congenital Heart Disease	No	2021018955	MO

Endpoints:

Endpoints provide a simple, secure, scalable, and standards-based way for participants to send authenticated, encrypted health information directly to known, trusted recipients over the Internet. It is used by EHR systems (Electronic Health Records).

Mailing Address:

Mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned business address only.

Mailing Address :	1 Childrens Pl, Msc 8515-87-1200 Saint Louis, MO, 63110-1002 United States
Phone Number :	314-454-6095
Fax Number :	314-454-2561

Business Location:

Patients can refer following map for directions to Dr. Rebecca Roelofs Hartog practice address. Don't forget to take prior appointment before visiting.
** Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 January, 2024.