Jimmy R Mascaro, DO | |
312 E Alta Vista Ave, Ottumwa, IA 52501-1413 | |
(641) 683-4454 | |
(641) 683-4450 |
Full Name | Jimmy R Mascaro |
---|---|
Gender | Male |
Speciality | Psychiatry |
Experience | 23 Years |
Location | 312 E Alta Vista Ave, Ottumwa, 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 |
---|---|---|---|
1104998251 | NPI | - | NPPES |
28586 | Other | IA | BCBS |
0739672 | Medicaid | IA | |
28587 | Other | IA | BCBS OTHER |
IA01J4 | Other | IA | UHC |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2084P0800X | Psychiatry & Neurology - Psychiatry | 3768 (Iowa) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Southern Iowa Mental Health Center | 6002809647 | 11 |
Entity Name | Southern Iowa Mental Health Center |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1659353670 PECOS PAC ID: 6002809647 Enrollment ID: O20040407001335 |
Mailing Address | Practice Location Address |
---|---|
Jimmy R Mascaro, DO 312 E Alta Vista Ave, Ottumwa, IA 52501-1413 Ph: (641) 683-4454 | Jimmy R Mascaro, DO 312 E Alta Vista Ave, Ottumwa, IA 52501-1413 Ph: (641) 683-4454 |
Quentin Stokes Dickins Jr., M.D. Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 1112 N Van Buren Ave, Suite 3, Ottumwa, IA 52501 Phone: 641-682-8302 Fax: 641-682-6534 | |
Marc E Hines, M.D. Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 1313 N Court St, Suite B, Ottumwa, IA 52501 Phone: 641-682-4978 Fax: 641-682-0722 | |
Dr. Taniya Pradhan, M.D. Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 1001 Pennsylvania Ave, Ottumwa, IA 52501 Phone: 641-684-2300 | |
Dr. Cyndi J Mccormick, D.O. Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 201 S Market St, Ottumwa, IA 52501 Phone: 641-683-5773 Fax: 641-226-5759 | |
Dr. Joseph Hime Iii, M.D. Psychiatry & Neurology Medicare: Medicare Enrolled Practice Location: 1001 Pennsylvania Ave, Ottumwa, IA 52501 Phone: 641-682-7511 | |
Dr. Ronald Ray Berges, DO Psychiatry & Neurology Medicare: Medicare Enrolled Practice Location: 1112 N Van Buren Ave, Ottumwa, IA 52501 Phone: 641-684-7744 |