Dr Tara Gravenstine, DO | |
300 N 4th Ave E Ste 200, Newton, IA 50208-3179 | |
(641) 792-2112 | |
(641) 792-8484 |
Full Name | Dr Tara Gravenstine |
---|---|
Gender | Female |
Speciality | Family Practice |
Experience | 9 Years |
Location | 300 N 4th Ave E Ste 200, Newton, Iowa |
Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1043698939 | NPI | - | NPPES |
DO-05909 | Other | IA | FAMILY PRACTICE |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | 52087 (South Carolina) | Secondary |
207Q00000X | Family Medicine | DO-05909 (Iowa) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Mercyone Newton Medical Center | Newton, IA | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Newton Clinic Pc | 6608768676 | 20 |
Entity Name | Newton Clinic Pc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1730115213 PECOS PAC ID: 6608768676 Enrollment ID: O20040325000962 |
Mailing Address | Practice Location Address |
---|---|
Dr Tara Gravenstine, DO Po Box 743070, Atlanta, GA 30374-3070 Ph: (864) 560-4304 | Dr Tara Gravenstine, DO 300 N 4th Ave E Ste 200, Newton, IA 50208-3179 Ph: (641) 792-2112 |
Mr. Laurie A. Siddall, FNP Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 300 N 4th Ave E, Suite 200, Newton, IA 50208 Phone: 641-792-2112 Fax: 641-792-8484 | |
Sarah Kristin Crudden Florence, Family Medicine Medicare: Medicare Enrolled Practice Location: 300 N 4th Ave E Ste 200, Newton, IA 50208 Phone: 641-792-2112 Fax: 641-792-8484 | |
Dr. Leighton E. Frost, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 300 N 4th Ave E, Suite 200, Newton, IA 50208 Phone: 641-792-2112 Fax: 641-792-8484 | |
Duane M Jolivette, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 300 N 4th Ave E, Ste 200, Newton, IA 50208 Phone: 641-792-2112 Fax: 641-792-8484 | |
Dr. Thomas E Jessen, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 300 N 4th Ave E, Ste 140a, Newton, IA 50208 Phone: 641-792-2380 Fax: 641-792-6184 | |
Ryan Scott Bakke, D.O. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 204 N 4th Ave E, Newton, IA 50208 Phone: 641-792-1273 Fax: 641-791-4852 |