Dr Christine-marie L Fong, MD | |
1111 6th Ave, Des Moines, IA 50314-2613 | |
(515) 358-4000 | |
Not Available |
Full Name | Dr Christine-marie L Fong |
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Gender | Female |
Speciality | Pediatrics - Neonatal-perinatal Medicine |
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 |
---|---|---|---|
1235235359 | NPI | - | NPPES |
32401800 | Medicaid | WI |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2080N0001X | Pediatrics - Neonatal-perinatal Medicine | 38472-020 (Wisconsin) | Primary |
Entity Name | Allen Memorial Hospital Corporation |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1891772927 PECOS PAC ID: 4284546045 Enrollment ID: O20031211000480 |
Entity Name | The Finley Hospital |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1073560462 PECOS PAC ID: 5092622944 Enrollment ID: O20040122001079 |
Mailing Address | Practice Location Address |
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Dr Christine-marie L Fong, MD Po Box 27035, West Des Moines, IA 50265-9415 Ph: (515) 333-1879 | Dr Christine-marie L Fong, MD 1111 6th Ave, Des Moines, IA 50314-2613 Ph: (515) 358-4000 |
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 |