Frederick M Faust, MD | |
1540 E Evergreen St, Springfield, MO 65803-4300 | |
(417) 823-2900 | |
(417) 886-2774 |
Full Name | Frederick M Faust |
---|---|
Gender | Male |
Speciality | Pediatric Medicine |
Experience | 26 Years |
Location | 1540 E Evergreen St, Springfield, 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 |
---|---|---|---|
1346350162 | NPI | - | NPPES |
209181007 | Medicaid | MO |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208000000X | Pediatrics | 2003018912 (Missouri) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Sgoh Acquisition Inc | 5092616276 | 72 |
Entity Name | Sgoh Acquisition Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1114924768 PECOS PAC ID: 5092616276 Enrollment ID: O20040205000647 |
Mailing Address | Practice Location Address |
---|---|
Frederick M Faust, MD 1540 E Evergreen St, Springfield, MO 65803-4300 Ph: (417) 823-2900 | Frederick M Faust, MD 1540 E Evergreen St, Springfield, MO 65803-4300 Ph: (417) 823-2900 |
Dr. Alan Dare Tong, M.D. Pediatrics Medicare: Accepting Medicare Assignments Practice Location: 4350 S National Ave, Suite C 100, Springfield, MO 65810 Phone: 417-447-4700 Fax: 417-447-4701 | |
Michael Stephen Hanks, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 1000 E Primrose, Ste 320, Springfield, MO 65807 Phone: 417-269-2300 Fax: 417-269-2315 | |
Matthew C Lundien, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 1965 S Fremont Ave, Ste 220, Springfield, MO 65804 Phone: 417-820-9055 | |
Dr. Melinda Rae Slack, M.D Pediatrics Medicare: Medicare Enrolled Practice Location: 1235 E Cherokee St, Springfield, MO 65804 Phone: 417-820-3219 | |
Brittany Nicole Montavon, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 3801 S National Ave, Springfield, MO 65807 Phone: 417-269-6184 Fax: 417-269-4608 | |
Nicole Marie Kucera, D.O. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 3443 S National Ave, Springfield, MO 65807 Phone: 417-269-2000 Fax: 417-269-2038 | |
James W Wilson, D.O. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 3443 S National Ave, Springfield, MO 65807 Phone: 417-269-2000 Fax: 417-269-2038 |