Susan E Teggatz, MD | |
5409 Avenue O, Suite 1, Fort Madison, IA 52627-9601 | |
(319) 376-2134 | |
(319) 376-2188 |
Full Name | Susan E Teggatz |
---|---|
Gender | Female |
Speciality | Pediatrics |
Location | 5409 Avenue O, Fort Madison, Iowa |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1578542668 | NPI | - | NPPES |
1578542668 | Other | IA | WELLMARK BLUE CROSS BLUE SHIELD |
1578542668 | Medicaid | IA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208000000X | Pediatrics | 33739 (Iowa) | Primary |
Entity Name | St Anthony Regional Hospital And Nursing Home |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1891711925 PECOS PAC ID: 4688586829 Enrollment ID: O20031105000218 |
Entity Name | Trinity Regional Medical Center |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1073594156 PECOS PAC ID: 7315858529 Enrollment ID: O20031204000921 |
Mailing Address | Practice Location Address |
---|---|
Susan E Teggatz, MD 5409 Avenue O, Suite 1, Fort Madison, IA 52627-9601 Ph: (319) 376-2134 | Susan E Teggatz, MD 5409 Avenue O, Suite 1, Fort Madison, IA 52627-9601 Ph: (319) 376-2134 |
Gregory F Gorski, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 5409 Avenue O, Fort Madison, IA 52627 Phone: 319-376-2134 Fax: 319-376-2188 | |
Kolleen Burnett, Pediatrics Medicare: Medicare Enrolled Practice Location: 5409 Avenue O, Fort Madison, IA 52627 Phone: 319-376-2134 Fax: 319-376-2188 | |
Curt C. Mcclellan, DO Pediatrics Medicare: Medicare Enrolled Practice Location: 5409 Avenue O, Po Box 174, Fort Madison, IA 52627 Phone: 319-376-2134 Fax: 319-376-2188 |