Beau E Waddell, MD | |
1111 11th St, Hawarden, IA 51023-1903 | |
(712) 551-3100 | |
(712) 551-3177 |
Full Name | Beau E Waddell |
---|---|
Gender | Male |
Speciality | Family Practice |
Experience | 12 Years |
Location | 1111 11th St, Hawarden, Iowa |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1053713636 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | 62893-20 (Wisconsin) | Secondary |
207Q00000X | Family Medicine | MD-43267 (Iowa) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Mercyhealth At Home | Janesville, WI | Home health agency |
Transitions Home Health | Elkhorn, WI | Home health agency |
Agrace Hospicecare | Madison, WI | Hospice |
Mercy Assisted Care | Janesville, WI | Hospice |
Mercy Health System Corp | Janesville, WI | Hospital |
Cedar Crest Health Center | Janesville, WI | Nursing home |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Mercy Health System Corporation | 7416860440 | 475 |
Entity Name | Mercy Health System Corporation |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1598718603 PECOS PAC ID: 7416860440 Enrollment ID: O20031113000164 |
Mailing Address | Practice Location Address |
---|---|
Beau E Waddell, MD 1111 11th St, Hawarden, IA 51023-1903 Ph: (712) 551-3100 | Beau E Waddell, MD 1111 11th St, Hawarden, IA 51023-1903 Ph: (712) 551-3100 |
Dr. Monte James Harvey, D.O. Family Medicine Medicare: Medicare Enrolled Practice Location: 920 Avenue F, Hawarden, IA 51023 Phone: 712-551-1000 Fax: 712-551-1441 |