| Justin Frick, | |
|
2525 Glenn Hendren Dr, Liberty, MO 64068-9625 | |
| (816) 781-7200 | |
| Not Available |
| Full Name | Justin Frick |
|---|---|
| Gender | Male |
| Speciality | Anesthesiologist Assistant |
| Location | 2525 Glenn Hendren Dr, Liberty, Missouri |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1720776545 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 367H00000X | Anesthesiologist Assistant | (* (Not Available)) | Primary |
| Entity Name | Professional Anesthetic Care Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1922053461 PECOS PAC ID: 2365425865 Enrollment ID: O20040607001480 |
| Mailing Address | Practice Location Address |
|---|---|
| Justin Frick, 12811 Plattsburg Rd, Kearney, MO 64060-8167 Ph: (816) 507-9876 | Justin Frick, 2525 Glenn Hendren Dr, Liberty, MO 64068-9625 Ph: (816) 781-7200 |
Pooja A Patel, AA Anesthesiologist Assistant Medicare: Medicare Enrolled Practice Location: 2525 Glenn Hendren Dr, Liberty, MO 64068 Phone: 816-781-7200 Fax: 816-792-7196 | |
Troy M Green, CAA Anesthesiologist Assistant Medicare: Accepting Medicare Assignments Practice Location: 2525 Glenn Hendren Dr, Liberty, MO 64068 Phone: 816-781-7200 Fax: 816-792-7196 | |
Mrs. Jamie Nafzinger, CAA Anesthesiologist Assistant Medicare: Accepting Medicare Assignments Practice Location: 2525 Glenn Hendren Dr, Liberty, MO 64068 Phone: 816-781-7200 Fax: 816-792-7196 | |
Melanie J Guthrie, AA Anesthesiologist Assistant Medicare: Medicare Enrolled Practice Location: 2525 Glenn Hendren Dr, Liberty, MO 64068 Phone: 816-781-7200 Fax: 816-792-7196 | |
Cassidy N Kimball, AA Anesthesiologist Assistant Medicare: Accepting Medicare Assignments Practice Location: 2525 Glenn Hendren Dr, Liberty, MO 64068 Phone: 816-781-7200 Fax: 816-792-7196 | |
Mary Jeanne Roberts, AA Anesthesiologist Assistant Medicare: Accepting Medicare Assignments Practice Location: 2525 Glenn Hendren Dr, Liberty, MO 64068 Phone: 816-792-7126 Fax: 816-792-7196 | |
Trent Andrew Platz, A.A. Anesthesiologist Assistant Medicare: Accepting Medicare Assignments Practice Location: 2525 Glenn Hendren Dr, Anesthesia Dept, Liberty, MO 64068 Phone: 816-792-7037 Fax: 816-792-7196 |