Gregory A Jeppesen, DO | |
800 Mercy Dr, Council Bluffs, IA 51503-3128 | |
(712) 328-5230 | |
Not Available |
Full Name | Gregory A Jeppesen |
---|---|
Gender | Male |
Speciality | Emergency Medicine |
Location | 800 Mercy Dr, Council Bluffs, Iowa |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1811933880 | NPI | - | NPPES |
2672853 | Medicaid | OH | |
P00326862 | Other | OH | RAILROAD MEDICARE |
000000479752 | Other | BCBS | |
114915360 | Medicaid | MI |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207P00000X | Emergency Medicine | 34008307 (Ohio) | Secondary |
207P00000X | Emergency Medicine | 4162 (Iowa) | Primary |
207P00000X | Emergency Medicine | 793 (Nebraska) | Secondary |
Entity Name | New Century Physicians Of Iowa Pc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1548269301 PECOS PAC ID: 4880587070 Enrollment ID: O20040203000297 |
Mailing Address | Practice Location Address |
---|---|
Gregory A Jeppesen, DO 4750 Hempstead Station Dr, Kettering, OH 45429-5164 Ph: (800) 875-0136 | Gregory A Jeppesen, DO 800 Mercy Dr, Council Bluffs, IA 51503-3128 Ph: (712) 328-5230 |
Dr. Paul C. Mileris, M.D. Emergency Medicine Medicare: Medicare Enrolled Practice Location: 933 E Pierce St, Council Bluffs, IA 51503 Phone: 712-396-6111 Fax: 712-396-7026 | |
Ronald A Sarno, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 800 Mercy Dr, Council Bluffs, IA 51503 Phone: 712-328-5230 | |
Adrian Dreessen, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 800 Mercy Dr, Council Bluffs, IA 51503 Phone: 712-328-5230 | |
Reed Macy, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 800 Mercy Dr, Council Bluffs, IA 51503 Phone: 712-328-5000 | |
Dr. Christopher Elliott, M.D. Emergency Medicine Medicare: Medicare Enrolled Practice Location: 800 Mercy Dr, Council Bluffs, IA 51503 Phone: 712-328-5230 | |
Robert Wallace Graham, D.O. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 800 Mercy Dr, Council Bluffs, IA 51503 Phone: 800-875-0136 Fax: 937-619-4150 | |
Dr. Scott P Smith, M.D. Emergency Medicine Medicare: Medicare Enrolled Practice Location: 933 E Pierce St, Council Bluffs, IA 51503 Phone: 712-396-6111 |