Garrett James Feddersen, DO | |
1525 W 5th St, Storm Lake, IA 50588 | |
(712) 213-8676 | |
Not Available |
Full Name | Garrett James Feddersen |
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Gender | Male |
Speciality | Family Medicine |
Location | 1525 W 5th St, Storm 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 |
---|---|---|---|
1659711349 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | DO-04574 (Iowa) | Primary |
Entity Name | Buena Vista Regional Medical Center |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1780755728 PECOS PAC ID: 3476464421 Enrollment ID: O20040109001054 |
Entity Name | Iowa Emergency Physicians Llp |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1386879427 PECOS PAC ID: 5991856064 Enrollment ID: O20090701000057 |
Mailing Address | Practice Location Address |
---|---|
Garrett James Feddersen, DO 1525 West 5th St Po Box 309, Storm Lake, IA 50588 Ph: (712) 213-8676 | Garrett James Feddersen, DO 1525 W 5th St, Storm Lake, IA 50588 Ph: (712) 213-8676 |
Joan M Nilles, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 2015 W 5th St, Storm Lake, IA 50588 Phone: 712-732-6650 | |
Dr. Lisa A Shepherd, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 2015 W 5th St, Storm Lake, IA 50588 Phone: 712-732-5030 | |
Bruce J Vanderkooi, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 620 Northwestern Dr, Storm Lake, IA 50588 Phone: 712-732-5030 | |
David Crippin, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 620 Northwestern Dr, Storm Lake, IA 50588 Phone: 712-732-5030 | |
Natalie Kay Schaller, D.O. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 715 W Milwaukee Ave, Storm Lake, IA 50588 Phone: 712-213-0109 Fax: 712-213-3130 | |
John Howard Pymm, D.O. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 620 Northwestern Dr # 1, Storm Lake, IA 50588 Phone: 712-732-5030 | |
Dr. Michael A Dehner, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 715 W Milwaukee Ave, Storm Lake, IA 50588 Phone: 712-213-0109 Fax: 712-213-0186 |