Kelli Elizabeth Woltemath, DO | |
1219 Main St, Hamburg, IA 51640-1300 | |
(712) 382-2626 | |
(712) 382-1931 |
Full Name | Kelli Elizabeth Woltemath |
---|---|
Gender | Female |
Speciality | General Practice |
Experience | 36 Years |
Location | 1219 Main St, Hamburg, 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 |
---|---|---|---|
1285606731 | NPI | - | NPPES |
0062356 | Medicaid | IA | |
29447 | Other | IA | WELLMARK BC/BS OF IA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | 02407 (Iowa) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Southwest Iowa Home Health Services | Sidney, IA | Home health agency |
Angels Care Home Health Of Iowa | Council bluffs, IA | Home health agency |
George C Grape Community Hospital | Hamburg, IA | Hospital |
Methodist Jennie Edmundson | Council bluffs, IA | Hospital |
Shenandoah Medical Center | Shenandoah, IA | Hospital |
The Nebraska Medical Center | Omaha, NE | Hospital |
The Ambassador Sidney Inc | Sidney, IA | Nursing home |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Medical Clinic P.c. | 5395634216 | 5 |
Entity Name | Community Hospital Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1124112677 PECOS PAC ID: 6103860564 Enrollment ID: O20050616000187 |
Entity Name | Community Hospital Inc |
---|---|
Entity Type | Part A Provider - Critical Access Hospital |
Entity Identifiers | NPI Number: 1932294071 PECOS PAC ID: 6103860564 Enrollment ID: O20061104000696 |
Entity Name | Medical Clinic P.c. |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1124218706 PECOS PAC ID: 5395634216 Enrollment ID: O20071003000602 |
Mailing Address | Practice Location Address |
---|---|
Kelli Elizabeth Woltemath, DO 1219 Main St, Hamburg, IA 51640-1300 Ph: (712) 382-2626 | Kelli Elizabeth Woltemath, DO 1219 Main St, Hamburg, IA 51640-1300 Ph: (712) 382-2626 |
Thomas Homer Largen, M.D. Family Medicine Medicare: Medicare Enrolled Practice Location: 1219 Main St, Hamburg, IA 51640 Phone: 712-382-2626 Fax: 712-382-1931 | |
Michael Ourada, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1219 Main St, Hamburg, IA 51640 Phone: 712-382-2626 Fax: 712-382-1931 |