Ms Lisa R Carlson, MD | |
1605 Se Delaware Ave, Suite F, Ankeny, IA 50021-4594 | |
(515) 964-5555 | |
(515) 964-5505 |
Full Name | Ms Lisa R Carlson |
---|---|
Gender | Female |
Speciality | Pediatrics |
Location | 1605 Se Delaware Ave, Ankeny, Iowa |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1598755522 | NPI | - | NPPES |
1113076 | Medicaid | IA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208000000X | Pediatrics | IA 30072 (Iowa) | Primary |
Entity Name | Iowa Physicians Clinic Medical Foundation |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1366425274 PECOS PAC ID: 8729992318 Enrollment ID: O20031118000363 |
Mailing Address | Practice Location Address |
---|---|
Ms Lisa R Carlson, MD 1605 Se Delaware Ave, Suite F, Ankeny, IA 50021-4594 Ph: (515) 964-5555 | Ms Lisa R Carlson, MD 1605 Se Delaware Ave, Suite F, Ankeny, IA 50021-4594 Ph: (515) 964-5555 |
Dr. Eric A Andersen, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 800 E 1st St Ste 2200, Ankeny, IA 50021 Phone: 515-643-9000 Fax: 515-643-7509 | |
Stephanie D Wadle-wignall, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 909 Sw Oralabor Rd, Suite 100, Ankeny, IA 50023 Phone: 515-964-4600 Fax: 515-964-9838 | |
Dr. Melissa Ashbacher Myers, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 120 Nw 36th St, Ankeny, IA 50023 Phone: 515-358-7550 Fax: 515-358-7551 | |
Daniel L Brink, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 909 Sw Oralabor Rd, Suite 100, Ankeny, IA 50023 Phone: 515-963-4400 Fax: 515-964-9838 | |
Dr. Katherine Christy Sullivan, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 1410 Sw Tradition Dr Ste 200, Ankeny, IA 50023 Phone: 515-875-9420 Fax: 515-875-9741 | |
Sara L Schutte-schenck, DO Pediatrics Medicare: Medicare Enrolled Practice Location: 800 E 1st St Ste 2200, Ankeny, IA 50021 Phone: 515-643-9000 Fax: 515-643-7509 | |
Rhonda Lynn Dodge Syata, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 909 Sw Oralabor Rd, Ankeny, IA 50023 Phone: 515-963-4400 Fax: 515-964-9838 |