Dr Thomas A Mallisee Iii, MD | |
1111 6th Ave, Des Moines, IA 50314-2613 | |
(515) 643-2667 | |
(515) 643-2978 |
Full Name | Dr Thomas A Mallisee Iii |
---|---|
Gender | Male |
Speciality | Diagnostic Radiology |
Experience | 31 Years |
Location | 1111 6th Ave, Des Moines, Iowa |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1639167042 | NPI | - | NPPES |
0192344 | Medicaid | IA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2085B0100X | Radiology - Body Imaging | 32854 (Iowa) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Mercyone Des Moines Medical Center | Des moines, IA | Hospital |
Mercyone Newton Medical Center | Newton, IA | Hospital |
Mercyone Centerville Medical Center | Centerville, IA | Hospital |
Ringgold County Hospital | Mount ayr, IA | Hospital |
Knoxville Hospital & Clinics | Knoxville, IA | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Diagnostic Imaging Associates, P.c. | 7113820788 | 20 |
Entity Name | Catholic Health Initiatives-iowa Corp |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1629301684 PECOS PAC ID: 5698683142 Enrollment ID: O20031118000163 |
Entity Name | Diagnostic Imaging Associates, P.c. |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1528030194 PECOS PAC ID: 7113820788 Enrollment ID: O20040130000299 |
Mailing Address | Practice Location Address |
---|---|
Dr Thomas A Mallisee Iii, MD 1111 6th Ave, Des Moines, IA 50314-2613 Ph: (515) 643-2667 | Dr Thomas A Mallisee Iii, MD 1111 6th Ave, Des Moines, IA 50314-2613 Ph: (515) 643-2667 |
Dr. Mitchell R. Erickson, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 1111 6th Ave, Des Moines, IA 50314 Phone: 515-643-2667 Fax: 515-643-2978 | |
Austin Peters, Radiology Medicare: Accepting Medicare Assignments Practice Location: 1200 Pleasant St, Des Moines, IA 50309 Phone: 155-460-7766 | |
Dr. Christopher J Ellerbroek, M.D. Radiology Medicare: Not Enrolled in Medicare Practice Location: 1221 Pleasant St, Ste 150, Des Moines, IA 50309 Phone: 515-244-5109 Fax: 515-241-3505 | |
Dr. Charles E. Zacharias, M.D. Radiology Medicare: Not Enrolled in Medicare Practice Location: 1111 6th Ave, Des Moines, IA 50314 Phone: 515-643-2667 Fax: 515-643-2978 | |
Dr. Mark Christopher Johnson, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 1111 6th Ave, Des Moines, IA 50314 Phone: 515-643-2667 | |
Christian Kingeter, MD Radiology Medicare: Medicare Enrolled Practice Location: 1801 Hickman Rd, Des Moines, IA 50314 Phone: 515-282-8551 | |
Dr. Jon Stacy Hade, M.D. Radiology Medicare: Not Enrolled in Medicare Practice Location: 1221 Pleasant St, Ste 150, Des Moines, IA 50309 Phone: 515-244-5109 Fax: 515-875-9672 |