Polly J Ferguson, | |
200 Hawkins Dr, Iowa City, IA 52242-1009 | |
(319) 356-1608 | |
(319) 356-7659 |
Full Name | Polly J Ferguson |
---|---|
Gender | Female |
Speciality | Pediatrics - Pediatric Rheumatology |
Location | 200 Hawkins Dr, Iowa 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 |
---|---|---|---|
1154316842 | NPI | - | NPPES |
0267203 | Medicaid | IA | |
46383 | Other | IA | WELLMARK BCBS |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2080P0216X | Pediatrics - Pediatric Rheumatology | 34521 (Iowa) | Primary |
Entity Name | State University Of Iowa |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1477554814 PECOS PAC ID: 7618884230 Enrollment ID: O20031107000060 |
Mailing Address | Practice Location Address |
---|---|
Polly J Ferguson, 200 Hawkins Dr, Iowa City, IA 52242-1009 Ph: (319) 356-1608 | Polly J Ferguson, 200 Hawkins Dr, Iowa City, IA 52242-1009 Ph: (319) 356-1608 |
Dr. Sarah Adalie Auerbach, DO Pediatrics Medicare: Medicare Enrolled Practice Location: 200 Hawkins Dr, Iowa City, IA 52242 Phone: 319-356-2229 Fax: 319-356-7147 | |
Vickie Diamandakis Pyevich, MD Pediatrics Medicare: Accepting Medicare Assignments Practice Location: 200 Hawkins Dr, Iowa City, IA 52242 Phone: 319-356-3537 Fax: 319-356-4693 | |
Janice M. R. Staber, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 200 Hawkins Dr, Iowa City, IA 52242 Phone: 319-356-1616 Fax: 319-356-7659 | |
William James Klutho, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 200 Hawkins Dr, Univeristy Of Iowa Dept Of Pediatrics, Iowa City, IA 52242 Phone: 319-384-8442 | |
Dr. Robert Jesse Blount, M.D. Pediatrics Medicare: Accepting Medicare Assignments Practice Location: 200 Hawkins Dr, Iowa City, IA 52242 Phone: 319-356-4419 Fax: 928-674-7705 | |
Dr. Rebecca J Benson, M.D. PH. D. Pediatrics Medicare: Accepting Medicare Assignments Practice Location: 200 Hawkins Dr, Iowa City, IA 52242 Phone: 319-356-4918 Fax: 319-356-4855 | |
Dr. Moon Ley Tung, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 200 Hawkins Dr, Iowa City, IA 52242 Phone: 319-678-8435 Fax: 319-356-3347 |