Jennifer Bagwell De La Rosa, DO | |
1201 W Agency Rd, West Burlington, IA 52655-1645 | |
(319) 754-4242 | |
(319) 754-4079 |
Full Name | Jennifer Bagwell De La Rosa |
---|---|
Gender | Female |
Speciality | Family Practice |
Experience | 28 Years |
Location | 1201 W Agency Rd, West Burlington, 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 |
---|---|---|---|
1417915208 | NPI | - | NPPES |
408962600 | Medicaid | MD |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | H0062423 (Maryland) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Great River Home Health Care | West burlington, IA | Home health agency |
Great River Hospice | West burlington, IA | Hospice |
Great River Medical Center | West burlington, IA | Hospital |
Oakview Nursing And Rehabilitation | Burlington, IA | Nursing home |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Southeast Iowa Regional Medical Center Inc | 3870496417 | 202 |
Entity Name | Southeast Iowa Regional Medical Center Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1164433884 PECOS PAC ID: 3870496417 Enrollment ID: O20040130000139 |
Mailing Address | Practice Location Address |
---|---|
Jennifer Bagwell De La Rosa, DO 1201 W Agency Rd, West Burlington, IA 52655-1645 Ph: (319) 754-4242 | Jennifer Bagwell De La Rosa, DO 1201 W Agency Rd, West Burlington, IA 52655-1645 Ph: (319) 754-4242 |
Dr. Dennis George Miller I, D.O. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 1706 W Agency Rd, West Burlington, IA 52655 Phone: 319-768-5858 Fax: 319-753-2301 | |
David W Carlson, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1201 W Agency Rd, West Burlington, IA 52655 Phone: 319-754-4242 Fax: 319-754-4079 | |
Michael K Abouassaly, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1201 W Agency Rd, West Burlington, IA 52655 Phone: 319-754-4242 Fax: 319-754-4079 | |
William S Daft, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1201 W Agency Rd, West Burlington, IA 52655 Phone: 319-754-4242 Fax: 319-754-4079 | |
Dr. Anjali Katiyar Sobti, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1201 W Agency Rd, West Burlington, IA 52655 Phone: 319-754-4242 | |
Thomas C Boyd, D.O. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 1201 W Agency Rd, West Burlington, IA 52655 Phone: 319-754-4242 Fax: 319-754-4709 |