| Michael J Moldenhauer, NP-C | |
|
624 Old Saint Marys Rd, Suite A, Perryville, MO 63775-1837 | |
| (573) 547-3232 | |
| (573) 547-3231 |
| Full Name | Michael J Moldenhauer |
|---|---|
| Gender | Male |
| Speciality | Nurse Practitioner - Family |
| Location | 624 Old Saint Marys Rd, Perryville, Missouri |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1275837551 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | 2010040721 (Missouri) | Primary |
| Entity Name | Sparta Community Hospital D/b/a Quality Healthcare Clinics |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1114984226 PECOS PAC ID: 6709870462 Enrollment ID: O20040414000594 |
| Mailing Address | Practice Location Address |
|---|---|
| Michael J Moldenhauer, NP-C 624 Old Saint Marys Rd, Suite A, Perryville, MO 63775-1837 Ph: (573) 547-3232 | Michael J Moldenhauer, NP-C 624 Old Saint Marys Rd, Suite A, Perryville, MO 63775-1837 Ph: (573) 547-3232 |
Bayley Nicole Little, FNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1508 Edgemont Blvd, Perryville, MO 63775 Phone: 573-768-3220 | |
Mr. Gavin Lee Flentge, AGACNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 8 N French Ln, Perryville, MO 63775 Phone: 573-768-6986 Fax: 949-655-8621 | |
Megan Rose Buehler, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 212 Hospital Ln Ste 101, Perryville, MO 63775 Phone: 573-547-8390 | |
Brooke Elizabeth Hotop, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 212 Hospital Ln Ste 101, Perryville, MO 63775 Phone: 573-547-7888 | |
Amanda Rose Moore, APRN FNP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 212 Hospital Ln Ste 101, Perryville, MO 63775 Phone: 573-547-7888 | |
Erin Meixner, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 8 N French Ln, Perryville, MO 63775 Phone: 573-768-6986 |