Dr Juan Camilo Mira, MD | |
1212 Pleasant St Ste 211, Des Moines, IA 50309-1411 | |
(515) 875-9770 | |
(515) 875-9771 |
Full Name | Dr Juan Camilo Mira |
---|---|
Gender | Male |
Speciality | Surgery |
Location | 1212 Pleasant St Ste 211, 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 |
---|---|---|---|
1902245806 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208600000X | Surgery | 19092 (Florida) | Secondary |
208600000X | Surgery | MD-49649 (Iowa) | Primary |
Entity Name | The Iowa Clinic Pc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1346233178 PECOS PAC ID: 4082513742 Enrollment ID: O20040102000222 |
Mailing Address | Practice Location Address |
---|---|
Dr Juan Camilo Mira, MD Po Box 424, Des Moines, IA 50302-0424 Ph: (515) 875-9255 | Dr Juan Camilo Mira, MD 1212 Pleasant St Ste 211, Des Moines, IA 50309-1411 Ph: (515) 875-9770 |
Jan Franko, MD, PHD Surgery Medicare: Accepting Medicare Assignments Practice Location: 411 Laurel St, Ste 2100, Des Moines, IA 50314 Phone: 515-247-3266 Fax: 515-643-8688 | |
Ashlea Semmens, MD Surgery Medicare: Medicare Enrolled Practice Location: 1415 Woodland Ave, Ste 140, Des Moines, IA 50309 Phone: 515-241-4076 | |
Todd Allen Eibes, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 5901 Thornton Ave Ste 101, Des Moines, IA 50321 Phone: 515-327-2000 Fax: 515-327-2019 | |
Dr. Ze-hui Han, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 450 Laurel St, Ste. A, Des Moines, IA 50314 Phone: 515-247-8400 Fax: 515-248-8888 | |
Dr. Yuichi Ishida, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 411 Laurel St Ste A250, Des Moines, IA 50314 Phone: 515-235-5000 Fax: 515-288-6713 | |
Dr. Richard Sidwell, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 1212 Pleasant St, Suite 211, Des Moines, IA 50309 Phone: 515-875-9770 Fax: 515-875-9771 | |
Dr. Robert Louis Clark Jr., MD Surgery Medicare: Not Enrolled in Medicare Practice Location: 3600 30th St, Des Moines, IA 50310 Phone: 515-699-5826 Fax: 515-699-5929 |