| Dba Beyer Medical Group | |
|
735 West Main Fredericktown MO 63645 | |
| (573) 783-8875 | |
| Not Available |
| Full Name | Dba Beyer Medical Group |
|---|---|
| Speciality | General Practice |
| Location | 735 West Main, Fredericktown, Missouri |
| Authorized Official Name and Position | Fernando Borrego (ADMINISTRATOR) |
| Authorized Official Contact | 5737838875 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Dba Beyer Medical Group 735 West Main Fredericktown MO 63645 Ph: (573) 783-8875 | Dba Beyer Medical Group 735 West Main Fredericktown MO 63645 Ph: (573) 783-8875 |
| NPI Number | 1629286976 |
|---|---|
| Provider Enumeration Date | 05/18/2007 |
| Last Update Date | 02/25/2020 |
| Certification Date | 02/25/2020 |
| Medicare PECOS PAC ID | 8123016078 |
|---|---|
| Medicare Enrollment ID | O20040501000050 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1629286976 | NPI | - | NPPES |
| 500948203 | Medicaid | MO | |
| 597560408 | Medicaid | MO |
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