| Sandy R Hagene, FNP | |
|
102 Ozark Dr, Cuba, MO 65453 | |
| (573) 885-6600 | |
| (573) 885-6610 |
| Full Name | Sandy R Hagene |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Experience | 29 Years |
| Location | 102 Ozark Dr, Cuba, 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 |
|---|---|---|---|
| 1184731671 | NPI | - | NPPES |
| 424651305 | Medicaid | MO |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | 112906 (Missouri) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Bjc Home Care Services | Saint louis, MO | Home health agency |
| Phelps County Regional Medical Center | Rolla, MO | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Missouri Baptist Hospital Of Sullivan | 2668380148 | 41 |
| Entity Name | Missouri Baptist Hospital Of Sullivan |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1396827408 PECOS PAC ID: 2668380148 Enrollment ID: O20050519000401 |
| Entity Name | Missouri Baptist Hospital Of Sullivan |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1295743169 PECOS PAC ID: 2668380148 Enrollment ID: O20060410000616 |
| Mailing Address | Practice Location Address |
|---|---|
| Sandy R Hagene, FNP 102 Ozark Dr Ste B, Cuba, MO 65453-1664 Ph: (573) 885-6600 | Sandy R Hagene, FNP 102 Ozark Dr, Cuba, MO 65453 Ph: (573) 885-6600 |
Mrs. Susan Marie Frago, RN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 114 Downey Pl, Cuba, MO 65453 Phone: 573-885-3358 | |
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 |