Tracy M Mixdorf, DO | |
1410 6th Ave S, Clear Lake, IA 50428-2606 | |
(641) 437-2191 | |
(641) 657-6020 |
Full Name | Tracy M Mixdorf |
---|---|
Gender | Female |
Speciality | Family Practice |
Experience | 32 Years |
Location | 1410 6th Ave S, Clear Lake, 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 |
---|---|---|---|
1578573846 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | 03243 (Iowa) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Mercyone North Iowa Home Care | Mason city, IA | Home health agency |
St Croix Hospice | New hampton, IA | Hospice |
Mercyone North Iowa Medical Center | Mason city, IA | Hospital |
Mercy Medical Center-new Hampton | New hampton, IA | Hospital |
Oakwood Care Center | Clear lake, IA | Nursing home |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
North Iowa Mercy Clinics | 7810809076 | 247 |
Entity Name | North Iowa Mercy Clinics |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1780278242 PECOS PAC ID: 7810809076 Enrollment ID: O20031105000273 |
Mailing Address | Practice Location Address |
---|---|
Tracy M Mixdorf, DO 621 S Illinois Ave, Suite 103, Mason City, IA 50401-5489 Ph: (641) 428-3041 | Tracy M Mixdorf, DO 1410 6th Ave S, Clear Lake, IA 50428-2606 Ph: (641) 437-2191 |
Mckenzie Brekken, DO Family Medicine Medicare: Medicare Enrolled Practice Location: 1410 6th Ave S, Clear Lake, IA 50428 Phone: 641-357-2191 Fax: 641-357-6020 | |
John Brady, DO Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1801 Us Highway 18 E, Clear Lake, IA 50428 Phone: 641-357-1999 Fax: 641-357-1997 | |
Brent E Brunsting, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1410 6th Ave S, Clear Lake, IA 50428 Phone: 641-357-2191 Fax: 641-357-6020 | |
Dr. Suzanne N Kersbergen, DO Family Medicine Medicare: Medicare Enrolled Practice Location: 1410 6th Ave So, Clear Lake, IA 50428 Phone: 641-357-2191 Fax: 641-357-6020 | |
Donald C Berge, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 1410 6th Ave S, Clear Lake, IA 50428 Phone: 641-357-2191 Fax: 641-357-6020 | |
Sydney Rae Bermel, FNP-C Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 203 Woodlane Dr, Clear Lake, IA 50428 Phone: 641-231-1990 |