Tyrone B Whitter, MD | |
200 Hawkins Dr, Iowa City, IA 52242-1009 | |
(319) 356-2633 | |
(319) 356-2940 |
Full Name | Tyrone B Whitter |
---|---|
Gender | Male |
Speciality | Anesthesiology |
Location | 200 Hawkins Dr, Iowa City, Iowa |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1942297056 | NPI | - | NPPES |
0120584 | Medicaid | IA | |
50454 | Other | IA | WELLMARK BCBS |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207L00000X | Anesthesiology | 30344 (Iowa) | Primary |
Entity Name | State University Of Iowa |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1477554814 PECOS PAC ID: 7618884230 Enrollment ID: O20031107000060 |
Mailing Address | Practice Location Address |
---|---|
Tyrone B Whitter, MD 200 Hawkins Dr, Iowa City, IA 52242-1009 Ph: (319) 356-2633 | Tyrone B Whitter, MD 200 Hawkins Dr, Iowa City, IA 52242-1009 Ph: (319) 356-2633 |
Clark Joseph Obr, MD Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 200 Hawkins Dr, Iowa City, IA 52242 Phone: 319-356-2633 Fax: 319-356-2940 | |
Dr. Chaitra Mukundan, M.D. Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 200 Hawkins Dr, Iowa City, IA 52242 Phone: 319-356-2633 | |
Bennett Allen Hartmann, MD Anesthesiology Medicare: Medicare Enrolled Practice Location: 200 Hawkins Dr, Iowa City, IA 52242 Phone: 319-356-1338 Fax: 319-356-2940 | |
Dr. Gic-owens Alcedo Fiestan, MD Anesthesiology Medicare: Not Enrolled in Medicare Practice Location: 200 Hawkins Dr, Iowa City, IA 52242 Phone: 319-356-7205 | |
Mrs. Judith Burton Dillman, MD Anesthesiology Medicare: Not Enrolled in Medicare Practice Location: 500 E Market St, Iowa City, IA 52245 Phone: 319-354-2653 Fax: 319-339-1364 | |
Shawn T Simmons, MD Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 200 Hawkins Dr, Iowa City, IA 52242 Phone: 319-356-2633 Fax: 319-356-2940 | |
Ronald M Lind, MD Anesthesiology Medicare: Not Enrolled in Medicare Practice Location: 200 Hawkins Dr, Iowa City, IA 52242 Phone: 319-356-2633 Fax: 319-356-2940 |