| Freudenthal Primary Care For Seniors, Llc | |
|
2425 N. Woodbine Road St. Joseph MO 64506 | |
| (816) 387-8881 | |
| Not Available |
| Full Name | Freudenthal Primary Care For Seniors, Llc |
|---|---|
| Speciality | Family Medicine |
| Location | 2425 N. Woodbine Road, St. Joseph, Missouri |
| Authorized Official Name and Position | Joseph Freudenthal (MEMBER) |
| Authorized Official Contact | 8163878881 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Freudenthal Primary Care For Seniors, Llc 2425 N Woodbine Rd Ste A Saint Joseph MO 64506-3647 Ph: (816) 387-8881 | Freudenthal Primary Care For Seniors, Llc 2425 N. Woodbine Road St. Joseph MO 64506 Ph: (816) 387-8881 |
| NPI Number | 1093397168 |
|---|---|
| Provider Enumeration Date | 04/27/2021 |
| Last Update Date | 04/25/2022 |
| Medicare PECOS PAC ID | 1951701952 |
|---|---|
| Medicare Enrollment ID | O20210614000911 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1093397168 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207QG0300X | Family Medicine - Geriatric Medicine | (* (Not Available)) | Primary |
| Provider Name | Tricia H Nguyen |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1548556871 PECOS PAC ID: 4385694306 Enrollment ID: I20050127000614 |
| Provider Name | Steven D Brushwood |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1407815400 PECOS PAC ID: 0143321992 Enrollment ID: I20070723000753 |
| Provider Name | Michelle Sexton |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1659777696 PECOS PAC ID: 7618299199 Enrollment ID: I20141212000252 |
| Provider Name | April Wamsley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1578802740 PECOS PAC ID: 4688898588 Enrollment ID: I20171214000119 |
| Provider Name | Claire Christine Gregson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1154943991 PECOS PAC ID: 0446656292 Enrollment ID: I20210902002679 |
Kerns Family Health Care Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1335 Vilage Dr B, St. Joseph, MO 64506 Phone: 816-233-7258 Fax: 816-233-4967 | |
Family Medicine Associates Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 2303 Village Drive, St. Joseph, MO 64506 Phone: 816-232-6818 Fax: 816-232-2696 |