Mrs Susan Marie Frago, RN | |
114 Downey Pl, Cuba, MO 65453-1640 | |
(573) 885-3358 | |
Not Available |
Full Name | Mrs Susan Marie Frago |
---|---|
Gender | Female |
Speciality | Nurse Practitioner - Family |
Location | 114 Downey Pl, Cuba, Missouri |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1366885667 | NPI | - | NPPES |
1366885667 | Medicaid | MO |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LF0000X | Nurse Practitioner - Family | 2013017936 (Missouri) | Primary |
Entity Name | Thomas-spann Clinic, P.a. |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1922084227 PECOS PAC ID: 2567448343 Enrollment ID: O20040624001087 |
Mailing Address | Practice Location Address |
---|---|
Mrs Susan Marie Frago, RN 1533 S Brownlee Blvd, Ste 100, Corpus Christi, TX 78404-3131 Ph: (417) 829-4620 | Mrs Susan Marie Frago, RN 114 Downey Pl, Cuba, MO 65453-1640 Ph: (573) 885-3358 |
Sandy R Hagene, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 102 Ozark Dr, Cuba, MO 65453 Phone: 573-885-6600 Fax: 573-885-6610 | |
Tanis Bast, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 301 Theresa St, Cuba, MO 65453 Phone: 573-677-2006 | |
Michelle M. Englert, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 114 Downey Pl, Cuba, MO 65453 Phone: 573-885-3358 Fax: 573-885-3361 |