Dr Nicole Felice Mancha, MD | |
350 N Grandview Ave, Dubuque, IA 52001-6388 | |
(563) 589-2560 | |
Not Available |
Full Name | Dr Nicole Felice Mancha |
---|---|
Gender | Female |
Speciality | Emergency Medicine |
Location | 350 N Grandview Ave, Dubuque, Iowa |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1467670059 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207P00000X | Emergency Medicine | 37128 (Iowa) | Primary |
207P00000X | Emergency Medicine | 036.117369 (Illinois) | Secondary |
207P00000X | Emergency Medicine | N7942 (Texas) | Secondary |
Entity Name | Trinity Medical Center |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1033163829 PECOS PAC ID: 2264337518 Enrollment ID: O20040217000414 |
Mailing Address | Practice Location Address |
---|---|
Dr Nicole Felice Mancha, MD 42 W Village Cir, Davenport, IA 52806-4857 Ph: (563) 386-5968 | Dr Nicole Felice Mancha, MD 350 N Grandview Ave, Dubuque, IA 52001-6388 Ph: (563) 589-2560 |
Michael Chandler Severson, Emergency Medicine Medicare: Medicare Enrolled Practice Location: 250 Mercy Dr, Dubuque, IA 52001 Phone: 563-589-9667 | |
Dr. Timothy L Bowers, M.D. Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 350 N Grandview Ave, Dubuque, IA 52001 Phone: 563-582-1881 | |
Neal Sauerberg, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 350 N Grandview Ave, Dubuque, IA 52001 Phone: 563-582-1881 | |
Dr. Theodore H Gifford, M.D. Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 350 N Grandview Ave, Dubuque, IA 52001 Phone: 563-582-1881 | |
Dr. Sean Matthew Wetjen, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 250 Mercy Dr, Dubuque, IA 52001 Phone: 202-491-1958 | |
Dr. Mark J Singsank, M.D. Emergency Medicine Medicare: Medicare Enrolled Practice Location: 250 Mercy Dr, Dubuque, IA 52001 Phone: 563-589-8000 | |
Staci Elaine Mckeon, M.D. Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 1000 Langworthy St, Dubuque, IA 52001 Phone: 563-584-3455 Fax: 563-584-3177 |