Dr Bernadette C Antonyrajah, MD | |
1111 6th Ave, Des Moines, IA 50314-2613 | |
(515) 247-3330 | |
(515) 643-8839 |
Full Name | Dr Bernadette C Antonyrajah |
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Gender | Female |
Speciality | Pediatrics |
Location | 1111 6th Ave, Des Moines, Iowa |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1295997666 | NPI | - | NPPES |
006240200 | Medicaid | FL | |
14LE6 | Other | FL | BLUE CROSS BLUE SHIELD |
Entity Name | University Medical Service Association Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1992742324 PECOS PAC ID: 6800790221 Enrollment ID: O20031126000130 |
Entity Name | Physician Associates Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1336137280 PECOS PAC ID: 0244135093 Enrollment ID: O20031204000591 |
Entity Name | The Nemours Foundation |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1386658615 PECOS PAC ID: 9537072483 Enrollment ID: O20040109000252 |
Entity Name | Pediatrix Medical Group Of Florida Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1083711790 PECOS PAC ID: 4486634417 Enrollment ID: O20040721000998 |
Entity Name | Sacred Heart Health System Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1962453308 PECOS PAC ID: 3779491386 Enrollment ID: O20051015000049 |
Mailing Address | Practice Location Address |
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Dr Bernadette C Antonyrajah, MD Po Box 917770, Orlando, FL 32891-0001 Ph: (813) 821-8038 | Dr Bernadette C Antonyrajah, MD 1111 6th Ave, Des Moines, IA 50314-2613 Ph: (515) 247-3330 |
Catherine P Mcneill, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 1200 Pleasant St, Des Moines, IA 50309 Phone: 515-241-6611 Fax: 515-241-6635 | |
Dr. Lisa I Hardisty, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 1200 Pleasant St, Des Moines, IA 50309 Phone: 515-241-5926 Fax: 515-241-5127 | |
Dr. Theresa Marie Wahlig, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 1111 6th Ave, Des Moines, IA 50314 Phone: 515-643-8409 | |
Dr. Basaviah Chandramouli, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 330 Laurel St, Suite 2200, Des Moines, IA 50314 Phone: 515-288-1097 Fax: 515-288-2847 | |
Holley A Bzdega, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 1200 Pleasant St, Neonatology, Des Moines, IA 50309 Phone: 515-241-4444 Fax: 515-241-5127 | |
Lexy Shantel Powell, DO Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 1200 Pleasant St, Des Moines, IA 50309 Phone: 515-241-6636 | |
Richard S Robus, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 1221 Pleasant St, Suite 170, Des Moines, IA 50309 Phone: 515-241-4300 Fax: 515-241-4359 |