Jeffrey Wallenberg, CNP-PMHNP | |
800 5th St, Sioux City, IA 51101-1317 | |
(800) 472-9018 | |
Not Available |
Full Name | Jeffrey Wallenberg |
---|---|
Gender | Male |
Speciality | Psychiatry & Neurology - Psychiatry |
Location | 800 5th St, Sioux City, Iowa |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1457979155 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2084P0800X | Psychiatry & Neurology - Psychiatry | G159566 (Iowa) | Primary |
Entity Name | Jackson Recovery Centers Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1811994973 PECOS PAC ID: 2466599634 Enrollment ID: O20091020000508 |
Mailing Address | Practice Location Address |
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Jeffrey Wallenberg, CNP-PMHNP 3701 W 49th St Ste 206, Sioux Falls, SD 57106-4219 Ph: (605) 271-6582 | Jeffrey Wallenberg, CNP-PMHNP 800 5th St, Sioux City, IA 51101-1317 Ph: (800) 472-9018 |
Mr. Daniel W Gillette, MD Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 3549 Southern Hills Dr, Sioux City, IA 51106 Phone: 712-274-6729 Fax: 712-274-6744 | |
Kunal K Patra, M.D. Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 3549 Southern Hills Dr, Sioux City, IA 51106 Phone: 712-274-6729 Fax: 712-274-6744 | |
Dennis Michael Nitz, MD Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 3701 Lindenwood St, Sioux City, IA 51104 Phone: 712-255-0127 | |
Ronald William Brinck, M.D. Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 625 Court St, Sioux City, IA 51101 Phone: 712-252-3871 | |
Dr. Rodney Julius Dean, MD Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 3549 Southern Hills Dr, Sioux City, IA 51106 Phone: 712-274-6729 Fax: 712-274-6744 | |
Dr. Stephen R Pallone, M.D. Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 3035 Hamilton Blvd, Sioux City, IA 51104 Phone: 712-535-7400 Fax: 712-535-7409 |