Brandon Beauchamp, DO | |
1825 Logan Ave, Waterloo, IA 50703-1916 | |
(319) 235-3941 | |
Not Available |
Full Name | Brandon Beauchamp |
---|---|
Gender | Male |
Speciality | Emergency Medicine |
Location | 1825 Logan Ave, Waterloo, Iowa |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1982637112 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207P00000X | Emergency Medicine | 34-08646 (Ohio) | Secondary |
207P00000X | Emergency Medicine | 3787 (Iowa) | Primary |
Entity Name | Southeast Iowa Regional Medical Center Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1164433884 PECOS PAC ID: 3870496417 Enrollment ID: O20040130000139 |
Mailing Address | Practice Location Address |
---|---|
Brandon Beauchamp, DO 823 Wildwood Rd, Waterloo, IA 50702-5517 Ph: (419) 297-1761 | Brandon Beauchamp, DO 1825 Logan Ave, Waterloo, IA 50703-1916 Ph: (319) 235-3941 |
Brian K Sankey, D.O. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 2710 Saint Francis Dr, Suite 210, Waterloo, IA 50702 Phone: 319-272-5000 Fax: 319-272-5728 | |
Dr. Robert Ansley Roof Iii, D.O. Emergency Medicine Medicare: Medicare Enrolled Practice Location: 3421 West 9th St, Waterloo, IA 50702 Phone: 800-458-5003 | |
Dr. Kendall E. Kurt, M.D. Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 1825 Logan Ave, Emergency Department, Waterloo, IA 50703 Phone: 319-235-3697 Fax: 319-235-3655 | |
Dr. Edward D. Herold, D.O. Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 1825 Logan Ave, Emergency Department, Waterloo, IA 50703 Phone: 319-235-3697 Fax: 319-235-3844 | |
Dr. Robert K. Dekoster, M.D. Emergency Medicine Medicare: Medicare Enrolled Practice Location: 1825 Logan Ave, Emergency Department, Waterloo, IA 50703 Phone: 319-235-3697 Fax: 319-235-3844 | |
Dr. Stacey Marie Marlow Fisher, MD, JD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 1825 Logan Ave, Emergency Department, Allen Memorial Hospital, Waterloo, IA 50703 Phone: 319-235-3697 | |
Dr. Dorothy E. Lawse, M.D. Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 1825 Logan Ave, Emergency Department, Waterloo, IA 50703 Phone: 319-235-3697 Fax: 319-235-3844 |