| Mr Gavin Lee Flentge, AGACNP-BC | |
|
8 N French Ln, Perryville, MO 63775-1577 | |
| (573) 768-6986 | |
| (949) 655-8621 |
| Full Name | Mr Gavin Lee Flentge |
|---|---|
| Gender | Male |
| Speciality | Nurse Practitioner |
| Experience | 6 Years |
| Location | 8 N French Ln, Perryville, Missouri |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1063039311 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LA2100X | Nurse Practitioner - Acute Care | 2020019956 (Missouri) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Mercy Hospital Jefferson | Festus, MO | Hospital |
| Southeasthealth | Cape girardeau, MO | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Mercy Hospital Jefferson | 1254248271 | 10 |
| Southeast Missouri Hospital Physicians Llc | 9133024334 | 188 |
| Mercy Hospital Perry | 1153777826 | 100 |
| Entity Name | Mercy Hospital Jefferson |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1508859661 PECOS PAC ID: 1254248271 Enrollment ID: O20050518000926 |
| Entity Name | Ies Missouri Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1336849249 PECOS PAC ID: 1254798416 Enrollment ID: O20230601002637 |
| Entity Name | Mercy Hospital Perry |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1063117158 PECOS PAC ID: 1153777826 Enrollment ID: O20231101001515 |
| Entity Name | Missouri Hb Medical Services Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1922868462 PECOS PAC ID: 2668813197 Enrollment ID: O20240514004087 |
| Mailing Address | Practice Location Address |
|---|---|
| Mr Gavin Lee Flentge, AGACNP-BC 8 N French Ln, Perryville, MO 63775-1577 Ph: (573) 768-6986 | Mr Gavin Lee Flentge, AGACNP-BC 8 N French Ln, Perryville, MO 63775-1577 Ph: (573) 768-6986 |
Bayley Nicole Little, FNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1508 Edgemont Blvd, Perryville, MO 63775 Phone: 573-768-3220 | |
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: Accepting Medicare Assignments Practice Location: 212 Hospital Ln Ste 101, Perryville, MO 63775 Phone: 573-547-7888 | |
Michael J Moldenhauer, NP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 624 Old Saint Marys Rd, Suite A, Perryville, MO 63775 Phone: 573-547-3232 Fax: 573-547-3231 | |
Erin Meixner, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 8 N French Ln, Perryville, MO 63775 Phone: 573-768-6986 |