Tiffany Ketcham, DO | |
825 Ne Gateway Dr Ste 148, Grimes, IA 50111-1307 | |
(515) 875-9607 | |
(515) 875-9608 |
Full Name | Tiffany Ketcham |
---|---|
Gender | Female |
Speciality | Family Practice |
Experience | 26 Years |
Location | 825 Ne Gateway Dr Ste 148, Grimes, Iowa |
Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1699786962 | NPI | - | NPPES |
0196063 | Medicaid | IA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | 03239 (Iowa) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Mercyone Des Moines Medical Center | Des moines, IA | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
The Iowa Clinic Pc | 4082513742 | 270 |
Entity Name | The Iowa Clinic Pc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1346233178 PECOS PAC ID: 4082513742 Enrollment ID: O20040102000222 |
Mailing Address | Practice Location Address |
---|---|
Tiffany Ketcham, DO Po Box 424, Des Moines, IA 50302-0424 Ph: (515) 875-9925 | Tiffany Ketcham, DO 825 Ne Gateway Dr Ste 148, Grimes, IA 50111-1307 Ph: (515) 875-9607 |
Dennis L Bussey, DO Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 101 Se Destination Drive, Grimes, IA 50111 Phone: 515-986-4524 Fax: 515-986-4531 | |
Dr. Brad Michael Willenbring, D.O. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 825 Ne Gateway Dr Ste 148, Grimes, IA 50111 Phone: 515-875-9607 Fax: 515-875-9608 | |
Hyo Young Seo Smith, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 101 Se Destination Dr, Grimes, IA 50111 Phone: 515-986-4524 | |
Jennifer Linn Gerrietts, D.O. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 250 Sw Brookside Dr, Grimes, IA 50111 Phone: 515-300-3900 Fax: 515-300-3901 | |
Kurt J Klise, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 250 Sw Brookside Dr, Grimes, IA 50111 Phone: 515-300-3900 Fax: 515-300-3901 | |
Erin E Swenka, DO Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 250 Sw Brookside Dr, Grimes, IA 50111 Phone: 515-300-3900 Fax: 515-300-3901 |