Dr Gregory Vincent Stanislav, MD | |
933 E Pierce St Ste 206, Council Bluffs, IA 51503-4626 | |
(712) 396-7460 | |
(712) 396-7465 |
Full Name | Dr Gregory Vincent Stanislav |
---|---|
Gender | Male |
Speciality | Surgery |
Location | 933 E Pierce St Ste 206, Council Bluffs, Iowa |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1144375221 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208600000X | Surgery | 17498 (Nebraska) | Secondary |
208600000X | Surgery | 29675 (Iowa) | Primary |
Entity Name | Healogics Specialty Physicians Of Iowa Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1184041113 PECOS PAC ID: 6608157086 Enrollment ID: O20161222000872 |
Mailing Address | Practice Location Address |
---|---|
Dr Gregory Vincent Stanislav, MD 933 E Pierce St Ste 206, Council Bluffs, IA 51503-4626 Ph: (712) 396-7460 | Dr Gregory Vincent Stanislav, MD 933 E Pierce St Ste 206, Council Bluffs, IA 51503-4626 Ph: (712) 396-7460 |
Ardith A Ryberg, MD Surgery Medicare: Medicare Enrolled Practice Location: 801 Harmony St, Suite 408, Council Bluffs, IA 51503 Phone: 712-256-6160 Fax: 402-895-5060 | |
Jered Lawrence Windorski, Surgery Medicare: Accepting Medicare Assignments Practice Location: 201 Ridge St Ste 214, Council Bluffs, IA 51503 Phone: 712-396-4320 Fax: 712-396-4328 | |
Dr. Patrick Ahrens, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 201 Ridge St, Suite 214, Council Bluffs, IA 51503 Phone: 712-396-4320 Fax: 712-396-4328 | |
David Mortensen, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 800 Mercy Dr Ste 220, Council Bluffs, IA 51503 Phone: 712-388-2660 | |
Mrs. Stacey Elizabeth Burmeister, Surgery Medicare: Accepting Medicare Assignments Practice Location: 201 Ridge St, Suite 206, Council Bluffs, IA 51503 Phone: 712-396-7460 Fax: 712-396-7465 | |
Dr. Michael Zlomke, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 201 Ridge St, Suite 214, Council Bluffs, IA 51503 Phone: 712-396-4320 Fax: 712-396-4328 |