Fredericktown Primary Care – Family Medicine Physician, NPI 1063517613
Family Medicine Physician
Main info
Profile Insights
NPPES metrics only — not quality of care.
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Provider Addresses for Fredericktown Primary Care
PO BOX 504354
SAINT LOUIS, MO 631500001
Phone: (573) 783-4683
Fax: (573) 783-4684
Type: Mailing
Garrett Drive, Fredericktown, Madison County, Missouri, 63645, United States
FREDERICKTOWN, MO 636451084
Phone: (573) 783-4683
Fax: (573) 783-4684
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
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Medicare Enrollment & Revalidation
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Educational use only—not medical, billing, or legal advice.
No Medicare enrollment or revalidation data available for this provider in our database.
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Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
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No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 63150)
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