| Gregory W Sensenich Inc | |
|
861 Fairway Dr Chillicothe MO 64601-3673 | |
| (660) 646-0000 | |
| (660) 646-5404 |
| Full Name | Gregory W Sensenich Inc |
|---|---|
| Speciality | General Practice |
| Location | 861 Fairway Dr, Chillicothe, Missouri |
| Authorized Official Name and Position | Gregory W Sensenich (PHYSICIAN/CEO) |
| Authorized Official Contact | 6606460000 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Gregory W Sensenich Inc 861 Fairway Drive Chillicothe MO 64601 Ph: (660) 646-0000 | Gregory W Sensenich Inc 861 Fairway Dr Chillicothe MO 64601-3673 Ph: (660) 646-0000 |
| NPI Number | 1326289869 |
|---|---|
| Provider Enumeration Date | 03/12/2009 |
| Last Update Date | 02/20/2014 |
| Medicare PECOS PAC ID | 3870640014 |
|---|---|
| Medicare Enrollment ID | O20090406000228 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1326289869 | NPI | - | NPPES |
| 242414720 | Medicaid | MO |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208D00000X | General Practice | R8G84 (Missouri) | Primary |
| Provider Name | Gregory Sensenich |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1669441531 PECOS PAC ID: 9638248115 Enrollment ID: I20090406000260 |
| Provider Name | Kayla N Suber |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1124530001 PECOS PAC ID: 3375807258 Enrollment ID: I20180430002123 |
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