Dale Vander Broek, DO | |
2 Deer Run Dr, Pella, IA 50219-1356 | |
(641) 780-1202 | |
Not Available |
Full Name | Dale Vander Broek |
---|---|
Gender | Male |
Speciality | Internal Medicine |
Location | 2 Deer Run Dr, Pella, Iowa |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1386613990 | NPI | - | NPPES |
110128512 | Other | IA | RAILROAD MEDICARE |
2067256 | Medicaid | IA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | 02411 (Iowa) | Primary |
Entity Name | Knoxville Community Hospital Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1770591661 PECOS PAC ID: 6608787056 Enrollment ID: O20031119000804 |
Mailing Address | Practice Location Address |
---|---|
Dale Vander Broek, DO 2 Deer Run Dr, Pella, IA 50219-1356 Ph: (641) 780-1202 | Dale Vander Broek, DO 2 Deer Run Dr, Pella, IA 50219-1356 Ph: (641) 780-1202 |
Mrs. Ruth Kernyuy Bame Mome, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 405 Monroe St, Pella, IA 50219 Phone: 641-628-6610 | |
Dr. Ronald R. Childerston, D.O. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 405 Monroe St, Pella, IA 50219 Phone: 641-621-2200 Fax: 641-621-2335 | |
Dr. Shelby Dames, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 405 Monroe St, Pella, IA 50219 Phone: 641-620-2021 Fax: 641-620-2020 | |
David Daining, MD Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 405 Monroe St, Pella, IA 50219 Phone: 641-628-3832 Fax: 641-628-8901 | |
Dr. Don Xuan Nguyen, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 404 Jefferson St, Pella, IA 50219 Phone: 641-628-6610 Fax: 641-620-5593 | |
Dr. Stewart Douglas Kanis, DO Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 405 Monroe St, Pella, IA 50219 Phone: 641-628-3832 Fax: 641-628-8894 |