| Kassidy Frillman, MSN APRN FNP-C | |
|
109 Plum St Ste A, Doniphan, MO 63935-1225 | |
| (573) 351-0150 | |
| (573) 996-2245 |
| Full Name | Kassidy Frillman |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Experience | 2 Years |
| Location | 109 Plum St Ste A, Doniphan, Missouri |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1366287021 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 163W00000X | Registered Nurse | 2015020458 (Missouri) | Secondary |
| 363LF0000X | Nurse Practitioner - Family | 2024022375 (Missouri) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Big Springs Medical Association | 6709871007 | 50 |
| Entity Name | Big Springs Medical Association |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1225045321 PECOS PAC ID: 6709871007 Enrollment ID: O20040416000695 |
| Mailing Address | Practice Location Address |
|---|---|
| Kassidy Frillman, MSN APRN FNP-C 110 S 2nd St, Ellington, MO 63638-9400 Ph: (573) 663-2313 | Kassidy Frillman, MSN APRN FNP-C 109 Plum St Ste A, Doniphan, MO 63935-1225 Ph: (573) 351-0150 |
Ms. Ida Mccrae, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1 Hospital Dr, Doniphan, MO 63935 Phone: 573-996-7148 Fax: 573-996-4041 | |
Pamela Ann Little, FNP-C Nurse Practitioner Medicare: May Accept Medicare Assignments Practice Location: 109 Plum St Ste A, Doniphan, MO 63935 Phone: 573-351-0150 Fax: 573-996-2245 | |
Ms. Kathreen Kelli Friend, PEDIATRIC NURSE PRAC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 109 Leroux St, Doniphan, MO 63935 Phone: 573-336-2136 | |
Bonita Hill, FNP-BC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 109 Plum St, Doniphan, MO 63935 Phone: 573-996-2141 | |
Mrs. Holly Maria Adams, MSN, FNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 109 Leroux St, Doniphan, MO 63935 Phone: 573-996-2136 Fax: 573-996-3105 | |
Mrs. Tina Marie Moe, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 109 Leroux Drive, Doniphan, MO 63935 Phone: 573-996-2136 Fax: 573-996-3105 |