Dr Mely Mary Mathew, MD | |
6000 University Ave, Ste 100, West Des Moines, IA 50266-8203 | |
(515) 241-2500 | |
Not Available |
Full Name | Dr Mely Mary Mathew |
---|---|
Gender | Female |
Speciality | Pediatrics |
Location | 6000 University Ave, West 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 |
---|---|---|---|
1457667792 | NPI | - | NPPES |
1457667792 | Medicaid | IA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208000000X | Pediatrics | 25MA10251700 (New Jersey) | Primary |
208000000X | Pediatrics | 125057754 (Illinois) | Secondary |
208000000X | Pediatrics | 40758 (Iowa) | Secondary |
Entity Name | Optum Medical Care Of New Jersey Pc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1578665048 PECOS PAC ID: 3072650290 Enrollment ID: O20091021000129 |
Mailing Address | Practice Location Address |
---|---|
Dr Mely Mary Mathew, MD 6000 University Ave, Ste 100, West Des Moines, IA 50266-8203 Ph: (515) 241-2500 | Dr Mely Mary Mathew, MD 6000 University Ave, Ste 100, West Des Moines, IA 50266-8203 Ph: (515) 241-2500 |
Dr. Joy Eleanor Hanson, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 5950 University Ave Ste 250, West Des Moines, IA 50266 Phone: 515-875-9420 Fax: 515-875-9422 | |
Dennis S Lonzarich, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 1271 8th St, Suite 100, West Des Moines, IA 50265 Phone: 515-224-4993 Fax: 515-224-1505 | |
Amy L Wallin, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 1271 8th St, Suite 100, West Des Moines, IA 50265 Phone: 515-224-4993 Fax: 515-224-1505 | |
Dr. Julian Cesar Serrano, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 9794 Red Sunset Ct, West Des Moines, IA 50266 Phone: 515-360-1542 | |
Carole R Rodemyer, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 6000 University Ave, Suite 100, West Des Moines, IA 50266 Phone: 515-241-2500 Fax: 515-241-2505 | |
Tara J Federly, M.D. Pediatrics Medicare: Accepting Medicare Assignments Practice Location: 6800 Lake Dr Ste 260, West Des Moines, IA 50266 Phone: 515-630-5022 Fax: 515-630-5026 | |
Michelle M Ewest, D.O. Pediatrics Medicare: Medicare Enrolled Practice Location: 4055 Westown Pkwy, West Des Moines, IA 50266 Phone: 515-224-3399 Fax: 515-241-3290 |