Rhonda J Enserro, MD | |
974 73rd St, Suite 30, Windsor Heights, IA 50312-1024 | |
(515) 224-4993 | |
(515) 224-1505 |
Full Name | Rhonda J Enserro |
---|---|
Gender | Female |
Speciality | Pediatrics |
Location | 974 73rd St, Windsor Heights, Iowa |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1386621415 | NPI | - | NPPES |
1386621415 | Medicaid | IA | |
370013577 | Other | IA | RR MEDICARE |
0190801 | Medicaid | IA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208000000X | Pediatrics | 32900 (Iowa) | Primary |
Entity Name | Iowa Physicians Clinic Medical Foundation |
---|---|
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 |
---|---|
Rhonda J Enserro, MD 974 73rd St, Suite 30, Windsor Heights, IA 50312-1024 Ph: (515) 224-4993 | Rhonda J Enserro, MD 974 73rd St, Suite 30, Windsor Heights, IA 50312-1024 Ph: (515) 224-4993 |
Joel E Waymire, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 974 73rd St, Suite 30, Windsor Heights, IA 50312 Phone: 515-224-4993 Fax: 515-224-1505 | |
Sayeed B Hussain, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 974 73rd St, Suite 33, Windsor Heights, IA 50312 Phone: 515-223-4146 Fax: 515-223-1172 | |
Shoab A Sayeed, DO Pediatrics Medicare: Medicare Enrolled Practice Location: 974 73rd St, Suite 33, Windsor Heights, IA 50312 Phone: 515-223-4146 Fax: 515-223-1172 | |
Rachelle L Gammon, DO Pediatrics Medicare: Medicare Enrolled Practice Location: 974 73rd St, Suite 30, Windsor Heights, IA 50312 Phone: 515-224-4993 Fax: 515-224-1505 |