Dr Jaime Kent Dodge, MD | |
2501 Pierce St, Sioux City, IA 51104-3725 | |
(712) 294-5000 | |
(712) 294-5091 |
Full Name | Dr Jaime Kent Dodge |
---|---|
Gender | Male |
Speciality | Family Practice |
Experience | 22 Years |
Location | 2501 Pierce St, Sioux City, Iowa |
Accepts Medicare Assignments | May be. He may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1295753531 | NPI | - | NPPES |
1295753531 | Medicaid | IA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | 22564 (Nebraska) | Secondary |
207Q00000X | Family Medicine | 37925 (Iowa) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Warren Memorial Hospital | 0941303085 | 5 |
Entity Name | Jennie M Melham Memorial Medical Center Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1366659773 PECOS PAC ID: 5799766440 Enrollment ID: O20040527000928 |
Entity Name | Harlan County Health System |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1124035225 PECOS PAC ID: 8325088214 Enrollment ID: O20050510000912 |
Entity Name | Harlan County Health System |
---|---|
Entity Type | Part A Provider - Critical Access Hospital |
Entity Identifiers | NPI Number: 1124035225 PECOS PAC ID: 8325088214 Enrollment ID: O20061104000577 |
Entity Name | Warren Memorial Hospital |
---|---|
Entity Type | Part B Supplier - Hospital Department(s) |
Entity Identifiers | NPI Number: 1063595486 PECOS PAC ID: 0941303085 Enrollment ID: O20071017000672 |
Entity Name | Jennie M Melham Memorial Medical Center Inc |
---|---|
Entity Type | Part A Provider - Critical Access Hospital |
Entity Identifiers | NPI Number: 1538232244 PECOS PAC ID: 5799766440 Enrollment ID: O20071129000446 |
Entity Name | Teledigm Physician Services Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1548667256 PECOS PAC ID: 6002130283 Enrollment ID: O20150116000478 |
Mailing Address | Practice Location Address |
---|---|
Dr Jaime Kent Dodge, MD 2501 Pierce St, Sioux City, IA 51104-3725 Ph: (712) 294-5000 | Dr Jaime Kent Dodge, MD 2501 Pierce St, Sioux City, IA 51104-3725 Ph: (712) 294-5000 |
Richard J. Kipp, D.O. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 3520 Singing Hills Blvd, Sioux City, IA 51106 Phone: 712-294-7400 Fax: 712-294-7436 | |
Dylan C Greene, M.D Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1021 Nebraska St, Sioux City, IA 51105 Phone: 712-252-2477 Fax: 712-252-5920 | |
Kornelia Kellogg, D.O. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 2501 Pierce St, Sioux City, IA 51104 Phone: 712-294-5000 Fax: 712-294-5092 | |
Michael John Jung, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 2501 Pierce St, Sioux City, IA 51104 Phone: 712-294-5000 Fax: 712-294-5091 | |
Daniel Irwin, Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 2501 Pierce St, Sioux City, IA 51104 Phone: 712-294-5000 Fax: 712-294-5091 | |
Amjad Abdelhady, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 2501 Pierce St, Sioux City, IA 51104 Phone: 712-294-5018 Fax: 712-294-5092 | |
Rodney L. Cassens, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 3500 Singing Hills Blvd, Ste 100, Sioux City, IA 51106 Phone: 712-274-4250 Fax: 712-274-4260 |