Dr Suzanne N Kersbergen, DO | |
1410 6th Ave So, Clear Lake, IA 50428-2606 | |
(641) 357-2191 | |
(641) 357-6020 |
Full Name | Dr Suzanne N Kersbergen |
---|---|
Gender | Female |
Speciality | Family Medicine |
Location | 1410 6th Ave So, Clear Lake, Iowa |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1770710980 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | OS14053 (Florida) | Secondary |
207Q00000X | Family Medicine | 4277 (Iowa) | Secondary |
207Q00000X | Family Medicine | 04277 (Iowa) | Primary |
Entity Name | North Iowa Mercy Clinics |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1780278242 PECOS PAC ID: 7810809076 Enrollment ID: O20031105000273 |
Mailing Address | Practice Location Address |
---|---|
Dr Suzanne N Kersbergen, DO 621 S Illinois Ave Ste 103, Mason City, IA 50401-5489 Ph: (641) 428-3041 | Dr Suzanne N Kersbergen, DO 1410 6th Ave So, Clear Lake, IA 50428-2606 Ph: (641) 357-2191 |
Mckenzie Brekken, DO Family Medicine Medicare: Medicare Enrolled Practice Location: 1410 6th Ave S, Clear Lake, IA 50428 Phone: 641-357-2191 Fax: 641-357-6020 | |
John Brady, DO Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1801 Us Highway 18 E, Clear Lake, IA 50428 Phone: 641-357-1999 Fax: 641-357-1997 | |
Brent E Brunsting, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1410 6th Ave S, Clear Lake, IA 50428 Phone: 641-357-2191 Fax: 641-357-6020 | |
Tracy M Mixdorf, DO Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1410 6th Ave S, Clear Lake, IA 50428 Phone: 641-437-2191 Fax: 641-657-6020 | |
Donald C Berge, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 1410 6th Ave S, Clear Lake, IA 50428 Phone: 641-357-2191 Fax: 641-357-6020 | |
Sydney Rae Bermel, FNP-C Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 203 Woodlane Dr, Clear Lake, IA 50428 Phone: 641-231-1990 |