Dr Bradley B Waller, MD | |
206 N Arcade St, Maquoketa, IA 52060-2022 | |
(563) 652-6711 | |
(563) 652-6715 |
Full Name | Dr Bradley B Waller |
---|---|
Gender | Male |
Speciality | Family Practice |
Experience | 5 Years |
Location | 206 N Arcade St, Maquoketa, 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 |
---|---|---|---|
1609433796 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | 47781 (Iowa) | Secondary |
207Q00000X | Family Medicine | R-11492 (Iowa) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Hospice Of Jackson County | Maquoketa, IA | Hospice |
Jackson County Regional Health Center | Maquoketa, IA | Hospital |
Maquoketa Care Center | Maquoketa, IA | Nursing home |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Maquoketa Family Clinic | 1951291095 | 5 |
Entity Name | Broadlawns Medical Center |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1467447508 PECOS PAC ID: 3678466166 Enrollment ID: O20040206000913 |
Entity Name | Maquoketa Family Clinic |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1407845175 PECOS PAC ID: 1951291095 Enrollment ID: O20040319001180 |
Mailing Address | Practice Location Address |
---|---|
Dr Bradley B Waller, MD 206 N Arcade St, Maquoketa, IA 52060-2022 Ph: (563) 652-6711 | Dr Bradley B Waller, MD 206 N Arcade St, Maquoketa, IA 52060-2022 Ph: (563) 652-6711 |
Mrs. Ann E Patterson, ARNP Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 206 North Arcade, Maquoketa, IA 52060 Phone: 563-652-6711 Fax: 563-652-6715 | |
Katherine E Ruff, DNP, ARNP, FNP-BC Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 918 W Platt St, Maquoketa, IA 52060 Phone: 563-652-5145 | |
Dr. Jill M Hunt, M.D. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 918 W Platt St # 1, Maquoketa, IA 52060 Phone: 563-652-5145 Fax: 563-652-3674 | |
Mr. Eric Scott Petersen, D.O. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 918 W Platt St # 1, Maquoketa, IA 52060 Phone: 563-652-5145 Fax: 563-652-3674 | |
Ms. Alyssa Lakin, PA C Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 206 N Arcade, Maquoketa, IA 52060 Phone: 563-652-6711 Fax: 563-652-6715 | |
Katherine L Hurst, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 700 W Grove St, Maquoketa, IA 52060 Phone: 563-652-2474 |