Tara Nissa Andersen, DO | |
1111 6th Ave # Main3, Des Moines, IA 50314-2610 | |
(515) 246-9320 | |
(515) 643-8966 |
Full Name | Tara Nissa Andersen |
---|---|
Gender | Female |
Speciality | Hospitalist |
Location | 1111 6th Ave # Main3, Des Moines, Iowa |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1881734499 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208000000X | Pediatrics | 2006018054 (Missouri) | Secondary |
208M00000X | Hospitalist | DO-03863 (Iowa) | Primary |
208000000X | Pediatrics | 3863 (Iowa) | Secondary |
Entity Name | Mcfarland Clinic Pc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1639135643 PECOS PAC ID: 1254244239 Enrollment ID: O20031106000338 |
Mailing Address | Practice Location Address |
---|---|
Tara Nissa Andersen, DO Po Box 1475, Des Moines, IA 50305-1475 Ph: (515) 246-9320 | Tara Nissa Andersen, DO 1111 6th Ave # Main3, Des Moines, IA 50314-2610 Ph: (515) 246-9320 |
Dr. Yi Jie Hammonds, MD Hospitalist Medicare: Accepting Medicare Assignments Practice Location: 1415 Woodland Ave Ste 140, Des Moines, IA 50309 Phone: 515-241-5995 | |
Miqdad Mohammed Abdallah Dafaallah, MD Hospitalist Medicare: Not Enrolled in Medicare Practice Location: 1111 6th Ave, Des Moines, IA 50314 Phone: 515-247-4240 Fax: 515-247-4239 | |
Aubrey Anderson Reese, MD Hospitalist Medicare: Medicare Enrolled Practice Location: 1200 Pleasant St, Des Moines, IA 50309 Phone: 515-241-4497 | |
Dr. Patrick Harlan Tracy, DO Hospitalist Medicare: Accepting Medicare Assignments Practice Location: 215 Euclid Ave, Des Moines, IA 50313 Phone: 515-666-8670 | |
Austin J Coder, DO Hospitalist Medicare: Accepting Medicare Assignments Practice Location: 1215 Pleasant St Ste 400, Des Moines, IA 50309 Phone: 515-241-4644 Fax: 515-643-5802 | |
Cecilia Annika Molloy, DO Hospitalist Medicare: Medicare Enrolled Practice Location: 1215 Pleasant St Ste 400, Des Moines, IA 50309 Phone: 515-241-4019 | |
Joseph Thomas Johnson, DO Hospitalist Medicare: Accepting Medicare Assignments Practice Location: 1215 Pleasant St Ste 400, Des Moines, IA 50309 Phone: 515-241-4019 Fax: 515-241-4051 |