Montgomery County Memorial Hospital - Medicare in Red Oak, IA

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Montgomery County Memorial Hospital is a medicare enrolled "Internal Medicine" provider in Red Oak, Iowa. Their current practice location is 2301 Eastern Ave, Red Oak, Iowa. You can reach out to their office (for appointments etc.) via phone at (712) 623-7000.

Montgomery County Memorial Hospital is licensed to practice in * (Not Available) (license number ) and it also participates in the medicare program. Montgomery County Memorial Hospital is enrolled with medicare and should accept medicare assignments and since they are enrolled in medicare, they may order Medicare Part D Prescription drugs, if eligible. The facility's NPI Number is 1265405310.

Contact Information

Montgomery County Memorial Hospital
2301 Eastern Ave,
Red Oak, IA 51566-1305
(712) 623-7000
(712) 623-7224

Map and Direction




Healthcare Provider's Profile

Full NameMontgomery County Memorial Hospital
TypeFacility
SpecialityInternal Medicine
Location2301 Eastern Ave, Red Oak, Iowa
Accepts Medicare AssignmentsMedicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1265405310
  • Provider Enumeration Date: 02/09/2006
  • Last Update Date: 12/06/2022
  Medicare PECOS Information:
  • PECOS PAC ID: 9032015805
  • Enrollment ID: O20031211000423

Medical Identifiers

Medical identifiers for Montgomery County Memorial Hospital such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1265405310NPI-NPPES
0092577MedicaidIA

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
133V00000XDietitian, Registered (* (Not Available))Secondary
207P00000XEmergency Medicine (* (Not Available))Secondary
207R00000XInternal Medicine (* (Not Available))Primary
207V00000XObstetrics & Gynecology (* (Not Available))Secondary
208600000XSurgery (* (Not Available))Secondary
363A00000XPhysician Assistant (* (Not Available))Secondary
363LF0000XNurse Practitioner - Family (* (Not Available))Secondary
367500000XNurse Anesthetist, Certified Registered (* (Not Available))Secondary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Montgomery County Memorial Hospital acts as a billing entity for following providers:
Provider NamePaul Henry Novak
Provider TypePractitioner - Emergency Medicine
Provider IdentifiersNPI Number: 1992795496
PECOS PAC ID: 7214824556
Enrollment ID: I20040302000648
Provider NameBret Dean Heileson
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1912982075
PECOS PAC ID: 5496740573
Enrollment ID: I20040419000035
Provider NameKathy J Wulf
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1730128463
PECOS PAC ID: 1759362502
Enrollment ID: I20040527000116
Provider NameScott D Hoffman
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1568464220
PECOS PAC ID: 8022099498
Enrollment ID: I20040601000517
Provider NameWilliam R Butz
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1649384868
PECOS PAC ID: 0345210985
Enrollment ID: I20040729001256
Provider NameMichael J Mahoney
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1689782336
PECOS PAC ID: 5890752067
Enrollment ID: I20041220000544
Provider NameWarren C Hayes
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1932215274
PECOS PAC ID: 6002854247
Enrollment ID: I20050419001076
Provider NameDavid Michael Owen
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1891768024
PECOS PAC ID: 5890688816
Enrollment ID: I20050824000689
Provider NameEdmund Joseph Piasecki
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1477534279
PECOS PAC ID: 2567444334
Enrollment ID: I20051114000371
Provider NameUma D Nooka
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1790776573
PECOS PAC ID: 6103817317
Enrollment ID: I20051207001069
Provider NameSharon R Johnson
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1548292246
PECOS PAC ID: 8921017526
Enrollment ID: I20060410000421
Provider NameRobert Willard Clemons
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1013963339
PECOS PAC ID: 3971515974
Enrollment ID: I20060612000002
Provider NamePatricia A Fasbender
Provider TypePractitioner - Emergency Medicine
Provider IdentifiersNPI Number: 1700847787
PECOS PAC ID: 9638174220
Enrollment ID: I20061004000178
Provider NameThomas M Atteberry
Provider TypePractitioner - Orthopedic Surgery
Provider IdentifiersNPI Number: 1629063508
PECOS PAC ID: 0547238255
Enrollment ID: I20061018000049
Provider NameSteven G Lapke
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1710928817
PECOS PAC ID: 5799727889
Enrollment ID: I20061212000693
Provider NameSakeer Hussain
Provider TypePractitioner - Hematology/oncology
Provider IdentifiersNPI Number: 1952423071
PECOS PAC ID: 7214036227
Enrollment ID: I20070615000276
Provider NameThomas M Baer
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1336252097
PECOS PAC ID: 0143274324
Enrollment ID: I20080523000266
Provider NameJoan K Smith
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1407844129
PECOS PAC ID: 8628143625
Enrollment ID: I20080826000068
Provider NameEduard Grass Garcia
Provider TypePractitioner - General Surgery
Provider IdentifiersNPI Number: 1679729479
PECOS PAC ID: 0941377576
Enrollment ID: I20080924000405
Provider NameDarwin D Peterson
Provider TypePractitioner - General Surgery
Provider IdentifiersNPI Number: 1043270556
PECOS PAC ID: 4183668460
Enrollment ID: I20090209000217
Provider NameScott Frank Menolascino
Provider TypePractitioner - Emergency Medicine
Provider IdentifiersNPI Number: 1336391275
PECOS PAC ID: 3779634720
Enrollment ID: I20090702000210
Provider NameBrian E Couse
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1013904812
PECOS PAC ID: 1355483272
Enrollment ID: I20100114000846
Provider NameDavid J Clark
Provider TypePractitioner - Certified Registered Nurse Anesthetist (crna)
Provider IdentifiersNPI Number: 1609890607
PECOS PAC ID: 6507830809
Enrollment ID: I20100827000712
Provider NameChristopher C Johnson
Provider TypePractitioner - Obstetrics/gynecology
Provider IdentifiersNPI Number: 1508852666
PECOS PAC ID: 7214052752
Enrollment ID: I20100921000505
Provider NameDaniel J Larose
Provider TypePractitioner - Orthopedic Surgery
Provider IdentifiersNPI Number: 1730187410
PECOS PAC ID: 3678538360
Enrollment ID: I20101214000793
Provider NameAngela M Kerchner
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1821319955
PECOS PAC ID: 7810166311
Enrollment ID: I20110817000421
Provider NameDenise Gossett
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1093990517
PECOS PAC ID: 5890869093
Enrollment ID: I20111208000091
Provider NameCamille M Gipson
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1275888695
PECOS PAC ID: 2961650007
Enrollment ID: I20120914000761
Provider NamePatricia L Goodemote
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1326033978
PECOS PAC ID: 1052332558
Enrollment ID: I20121012000823
Provider NameBecky E Baker
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1619394236
PECOS PAC ID: 4587896824
Enrollment ID: I20140421000380
Provider NameSaundra L Marion
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1902234529
PECOS PAC ID: 0749401347
Enrollment ID: I20141023002604
Provider NameTu Anh Thi Luong
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1528320991
PECOS PAC ID: 2567603830
Enrollment ID: I20150813010406
Provider NameRhonda Sue Purdy
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1356444251
PECOS PAC ID: 7517932502
Enrollment ID: I20151005000485
Provider NameSrinivas Katta
Provider TypePractitioner - Nephrology
Provider IdentifiersNPI Number: 1841428752
PECOS PAC ID: 4385878412
Enrollment ID: I20151022002229
Provider NameJolynn D Carlson
Provider TypePractitioner - Certified Registered Nurse Anesthetist (crna)
Provider IdentifiersNPI Number: 1437386471
PECOS PAC ID: 9032263827
Enrollment ID: I20151210002405
Provider NameJuanita D Alvarez Hall
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1447616313
PECOS PAC ID: 5799082764
Enrollment ID: I20160318001638
Provider NameColleen Ross
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1700293859
PECOS PAC ID: 3577781475
Enrollment ID: I20160726000398
Provider NameBrandi L Schaefer
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1740596113
PECOS PAC ID: 7810012416
Enrollment ID: I20170907001342
Provider NameMichelle M Vance
Provider TypePractitioner - Certified Registered Nurse Anesthetist (crna)
Provider IdentifiersNPI Number: 1114241791
PECOS PAC ID: 9436286085
Enrollment ID: I20180104001944
Provider NameTerry L Waddell
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1376047522
PECOS PAC ID: 2860747748
Enrollment ID: I20180618001270
Provider NameMarcela I Pineda Molina
Provider TypePractitioner - Obstetrics/gynecology
Provider IdentifiersNPI Number: 1528477379
PECOS PAC ID: 0446508030
Enrollment ID: I20180730000461
Provider NameKatherine M. Erlandson
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1801374384
PECOS PAC ID: 0749530145
Enrollment ID: I20180905003582
Provider NameBrianna Schaffer
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1700356334
PECOS PAC ID: 2264779859
Enrollment ID: I20190118002273
Provider NameDale E Stogdill
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1750949111
PECOS PAC ID: 3274868799
Enrollment ID: I20190703003086
Provider NameRonald Lotoc
Provider TypePractitioner - Emergency Medicine
Provider IdentifiersNPI Number: 1275078354
PECOS PAC ID: 6406120229
Enrollment ID: I20190909001634
Provider NameRiza Mina Jose
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1184911380
PECOS PAC ID: 6204085160
Enrollment ID: I20191007000738
Provider NameEmily L Maass
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1659925600
PECOS PAC ID: 0244561496
Enrollment ID: I20191021000578
Provider NameAmr Adel Essa
Provider TypePractitioner - Emergency Medicine
Provider IdentifiersNPI Number: 1174057699
PECOS PAC ID: 3678805512
Enrollment ID: I20191028000212
Provider NameStephanie A Ezebuiro
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1013437797
PECOS PAC ID: 4385913318
Enrollment ID: I20191114002778
Provider NameMichael Galloway
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1518422690
PECOS PAC ID: 8325381361
Enrollment ID: I20200127000393
Provider NameChristopher R Olsen
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1235642661
PECOS PAC ID: 2466880893
Enrollment ID: I20200319000360
Provider NameCrystal Vinas
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1376019885
PECOS PAC ID: 3577992221
Enrollment ID: I20200401002679
Provider NameDaniela M Donoso Pena
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1265744916
PECOS PAC ID: 0244458727
Enrollment ID: I20200826003144
Provider NameRolando D Breier
Provider TypePractitioner - Medical Oncology
Provider IdentifiersNPI Number: 1033379938
PECOS PAC ID: 8921279035
Enrollment ID: I20200909003220
Provider NameAmy Petersen
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1396350906
PECOS PAC ID: 6305258823
Enrollment ID: I20201207002118
Provider NameBrianne L Wessels
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1649886029
PECOS PAC ID: 1951715523
Enrollment ID: I20210122002235
Provider NameJason T Lihs
Provider TypePractitioner - Certified Registered Nurse Anesthetist (crna)
Provider IdentifiersNPI Number: 1669566758
PECOS PAC ID: 7618975335
Enrollment ID: I20210421000973
Provider NameMark W. Kemp
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1053365064
PECOS PAC ID: 1052316593
Enrollment ID: I20210607001066
Provider NameLauren J Riley
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1851974802
PECOS PAC ID: 5092118588
Enrollment ID: I20210721001576
Provider NameLizabeth Jean Johnson
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1720752991
PECOS PAC ID: 7315344660
Enrollment ID: I20210929001159
Provider NameStephen F Israel
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1376539700
PECOS PAC ID: 8628045176
Enrollment ID: I20220627001680
Provider NameStacy J Watts
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1154076040
PECOS PAC ID: 7416339650
Enrollment ID: I20220803003700
Provider NameMegan J Platt
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1336888791
PECOS PAC ID: 4688056898
Enrollment ID: I20220804002643
Provider NameChristopher P Lindgren
Provider TypePractitioner - Emergency Medicine
Provider IdentifiersNPI Number: 1720222805
PECOS PAC ID: 4486823424
Enrollment ID: I20230905000321
Provider NameThomas F Satterly
Provider TypePractitioner - Orthopedic Surgery
Provider IdentifiersNPI Number: 1174759203
PECOS PAC ID: 5092992032
Enrollment ID: I20231025000466
Provider NameEva-anne M Kentner
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1386425056
PECOS PAC ID: 8921457037
Enrollment ID: I20231214003355

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Montgomery County Memorial Hospital is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Montgomery County Memorial Hospital
Po Box 498,
Red Oak, IA 51566-0498

Ph: (712) 623-7000		Montgomery County Memorial Hospital
2301 Eastern Ave,
Red Oak, IA 51566-1305

Ph: (712) 623-7000

Reviews and Comments



Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.