Tiffany Willis, | |
255 W Lucas St, Marengo, IA 52301-1331 | |
(319) 642-5213 | |
(319) 642-3636 |
Full Name | Tiffany Willis |
---|---|
Gender | Female |
Speciality | Family Medicine |
Location | 255 W Lucas St, Marengo, Iowa |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1750370383 | NPI | - | NPPES |
39640 | Other | WELLMARK |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | 36129 (Iowa) | Primary |
Entity Name | Mercy Clinic Oklahoma Communities |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1386874550 PECOS PAC ID: 1153468921 Enrollment ID: O20091027000755 |
Mailing Address | Practice Location Address |
---|---|
Tiffany Willis, 255 W Lucas St, Marengo, IA 52301-1331 Ph: (319) 642-5213 | Tiffany Willis, 255 W Lucas St, Marengo, IA 52301-1331 Ph: (319) 642-5213 |
Philip E Mccune, D.O. Family Medicine Medicare: Medicare Enrolled Practice Location: 255 W Lucas St, Marengo, IA 52301 Phone: 319-741-6789 Fax: 319-741-6791 | |
Dr. Mark B. Irland, M.D. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 300 W. May St., Marengo, IA 52301 Phone: 319-642-5543 Fax: 319-642-8068 | |
Taylor Marie Felker, DNP, ARNP, FNP-BC Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 300 W May St, Marengo, IA 52301 Phone: 319-741-6789 | |
Dr. Benjamin Miller, D.O. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 255 W Lucas St, Marengo, IA 52301 Phone: 319-741-6789 Fax: 319-741-6791 |