Rebecca G Chackalackal, MD | |
University Of Iowa Student Health Service, 4189 Wl, Iowa City, IA 52242-1100 | |
(319) 335-8370 | |
(319) 335-7247 |
Full Name | Rebecca G Chackalackal |
---|---|
Gender | Female |
Speciality | Family Medicine |
Location | University Of Iowa Student Health Service, 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 |
---|---|---|---|
1609863323 | NPI | - | NPPES |
1192815 | Medicaid | IA | |
55711 | Other | IA | WELLMARK BCBS |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | 33635 (Iowa) | Primary |
Entity Name | State University Of Iowa |
---|---|
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 |
---|---|
Rebecca G Chackalackal, MD University Of Iowa Student Health Service, 4189 Wl, Iowa City, IA 52242-1100 Ph: (319) 335-8370 | Rebecca G Chackalackal, MD University Of Iowa Student Health Service, 4189 Wl, Iowa City, IA 52242-1100 Ph: (319) 335-8370 |
Joshua Craig Borwick, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 200 Hawkins Dr, Iowa City, IA 52242 Phone: 319-384-7507 | |
Kaylie Duit, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 200 Hawkins Dr, Iowa City, IA 52242 Phone: 319-384-7222 Fax: 319-384-7822 | |
Dr. Jeanie Hung Yin Chen, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 200 Hawkins Dr, Iowa City, IA 52242 Phone: 515-778-9738 Fax: 712-294-5092 | |
Adelaide M Gurwell, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 200 Hawkins Dr, Iowa City, IA 52242 Phone: 319-356-1616 | |
Mr. Nathan Alan Shaw, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 200 Hawkins Dr, Iowa City, IA 52242 Phone: 319-384-7000 | |
Dr. Maresi Berry-stoelzle, M.D. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 3640 Middlebury Rd, Iowa City, IA 52245 Phone: 319-384-7000 Fax: 319-467-7400 | |
Michael Maharry, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 200 Hawkins Dr, Iowa City, IA 52242 Phone: 319-384-7222 Fax: 319-384-7822 |