Dr Matthew Gary Petty, MD | |
1111 6th Avenue, Main 3, Des Moines, IA 50314-2610 | |
(515) 246-9320 | |
(515) 643-8966 |
Full Name | Dr Matthew Gary Petty |
---|---|
Gender | Male |
Speciality | Hospitalist |
Location | 1111 6th Avenue, 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 |
---|---|---|---|
1316381221 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208000000X | Pediatrics | MD-43619 (Iowa) | Secondary |
208M00000X | Hospitalist | MD-43619 (Iowa) | Primary |
Entity Name | Mercy Clinics Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1457691941 PECOS PAC ID: 7911810882 Enrollment ID: O20031112000238 |
Entity Name | Trinity Regional Medical Center |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1073594156 PECOS PAC ID: 7315858529 Enrollment ID: O20031204000921 |
Mailing Address | Practice Location Address |
---|---|
Dr Matthew Gary Petty, MD Po Box 1475, Des Moines, IA 50305-1475 Ph: (515) 246-9320 | Dr Matthew Gary Petty, MD 1111 6th Avenue, Main 3, Des Moines, IA 50314-2610 Ph: (515) 246-9320 |
Dr. Yi Jie Hammonds, MD Hospitalist Medicare: Accepting Medicare Assignments Practice Location: 1415 Woodland Ave Ste 140, Des Moines, IA 50309 Phone: 515-241-5995 | |
Miqdad Mohammed Abdallah Dafaallah, MD Hospitalist Medicare: Not Enrolled in Medicare Practice Location: 1111 6th Ave, Des Moines, IA 50314 Phone: 515-247-4240 Fax: 515-247-4239 | |
Aubrey Anderson Reese, MD Hospitalist Medicare: Medicare Enrolled Practice Location: 1200 Pleasant St, Des Moines, IA 50309 Phone: 515-241-4497 | |
Dr. Patrick Harlan Tracy, DO Hospitalist Medicare: Accepting Medicare Assignments Practice Location: 215 Euclid Ave, Des Moines, IA 50313 Phone: 515-666-8670 | |
Austin J Coder, DO Hospitalist Medicare: Accepting Medicare Assignments Practice Location: 1215 Pleasant St Ste 400, Des Moines, IA 50309 Phone: 515-241-4644 Fax: 515-643-5802 | |
Cecilia Annika Molloy, DO Hospitalist Medicare: Medicare Enrolled Practice Location: 1215 Pleasant St Ste 400, Des Moines, IA 50309 Phone: 515-241-4019 | |
Joseph Thomas Johnson, DO Hospitalist Medicare: Accepting Medicare Assignments Practice Location: 1215 Pleasant St Ste 400, Des Moines, IA 50309 Phone: 515-241-4019 Fax: 515-241-4051 |