| Samantha Frembgen, D.o. Pllc | |
|
3814 E 5th St Tucson AZ 85716-5145 | |
| (520) 372-8575 | |
| (520) 372-8576 |
| Full Name | Samantha Frembgen, D.o. Pllc |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 3814 E 5th St, Tucson, Arizona |
| Authorized Official Name and Position | Samantha Frembgen (OWNER) |
| Authorized Official Contact | 5203728575 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Samantha Frembgen, D.o. Pllc 3814 E 5th St Tucson AZ 85716-5145 Ph: (520) 372-8575 | Samantha Frembgen, D.o. Pllc 3814 E 5th St Tucson AZ 85716-5145 Ph: (520) 372-8575 |
| NPI Number | 1225667561 |
|---|---|
| Provider Enumeration Date | 04/08/2020 |
| Last Update Date | 05/12/2023 |
| Certification Date | 05/12/2023 |
| Medicare PECOS PAC ID | 4880017938 |
|---|---|
| Medicare Enrollment ID | O20200707003311 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1225667561 | NPI | - | NPPES |
| Z205644 | Medicaid | AZ |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | (* (Not Available)) | Primary |
| Provider Name | Samantha Frembgen |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1275620239 PECOS PAC ID: 4284694928 Enrollment ID: I20041015000924 |
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