Katie Peters, | |
1628 Oklahoma Ave, Trenton, MO 64683-2565 | |
(660) 359-4600 | |
Not Available |
Full Name | Katie Peters |
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Gender | Female |
Speciality | Counselor - Professional |
Location | 1628 Oklahoma Ave, Trenton, Missouri |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1447929625 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YP2500X | Counselor - Professional | 2021019454 (Missouri) | Primary |
Entity Name | Preferred Family Healthcare, Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1649474206 PECOS PAC ID: 0244256246 Enrollment ID: O20051019000599 |
Mailing Address | Practice Location Address |
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Katie Peters, 1601 Old South River Rd, Saint Charles, MO 63303-4120 Ph: (636) 224-1210 | Katie Peters, 1628 Oklahoma Ave, Trenton, MO 64683-2565 Ph: (660) 359-4600 |
Frederick R Smith, MA Counselor Medicare: Not Enrolled in Medicare Practice Location: 1601 E 28th St, Trenton, MO 64683 Phone: 660-359-4487 | |
Brooke A Leamer, MS, PLCP Counselor Medicare: Not Enrolled in Medicare Practice Location: 1601 E 28th St, Trenton, MO 64683 Phone: 660-359-4487 Fax: 660-359-2958 | |
Heidi Gifford, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1628 Oklahoma Ave, Trenton, MO 64683 Phone: 660-359-4600 | |
Craig Collins, LPC Counselor Medicare: Medicare Enrolled Practice Location: 1601 E 28th St, Trenton, MO 64683 Phone: 660-359-4487 | |
Maeanne I Browning, LPC Counselor Medicare: Medicare Enrolled Practice Location: 1601 E 28th St, Trenton, MO 64683 Phone: 660-359-4487 | |
Mr. Danny J Wilford, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 1601 E 28th St, Trenton, MO 64683 Phone: 660-359-4487 Fax: 660-359-4129 |