Marcene F. Kreifels, M.d., P.a. | |
1198 S Ferdon Blvd Crestview FL 32536-4512 | |
(850) 682-1735 | |
(850) 689-4400 |
Full Name | Marcene F. Kreifels, M.d., P.a. |
---|---|
Speciality | General Practice |
Location | 1198 S Ferdon Blvd, Crestview, Florida |
Authorized Official Name and Position | Marcene F. Kreifels (PHYSICIAN) |
Authorized Official Contact | 8506821735 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
---|---|
Marcene F. Kreifels, M.d., P.a. 1198 S Ferdon Blvd Crestview FL 32536-4512 Ph: (850) 682-1735 | Marcene F. Kreifels, M.d., P.a. 1198 S Ferdon Blvd Crestview FL 32536-4512 Ph: (850) 682-1735 |
NPI Number | 1083803415 |
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Provider Enumeration Date | 10/22/2007 |
Last Update Date | 07/21/2008 |
Medicare PECOS PAC ID | 3870771504 |
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Medicare Enrollment ID | O20110629000248 |
Identifier | Type | State | Issuer |
---|---|---|---|
1083803415 | NPI | - | NPPES |
DH2506 | Other | FL | RRB PTAN |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208D00000X | General Practice | 50036 (Florida) | Primary |
Provider Name | Marcene F Kreifels |
---|---|
Provider Type | Practitioner - General Practice |
Provider Identifiers | NPI Number: 1801905039 PECOS PAC ID: 5496933129 Enrollment ID: I20110629000289 |
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