| Donald M. Kaesser Phd Pc | |
|
1922 Ingersoll Ave Des Moines IA 50309-3321 | |
| (515) 240-7997 | |
| (515) 267-0556 |
| Full Name | Donald M. Kaesser Phd Pc |
|---|---|
| Speciality | Psychologist |
| Location | 1922 Ingersoll Ave, Des Moines, Iowa |
| Authorized Official Name and Position | Donald M. Kaesser (CEO) |
| Authorized Official Contact | 5152407997 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Donald M. Kaesser Phd Pc 1922 Ingersoll Ave Des Moines IA 50309-3321 Ph: (515) 240-7997 | Donald M. Kaesser Phd Pc 1922 Ingersoll Ave Des Moines IA 50309-3321 Ph: (515) 240-7997 |
| NPI Number | 1477983120 |
|---|---|
| Provider Enumeration Date | 11/16/2013 |
| Last Update Date | 04/25/2016 |
| Medicare PECOS PAC ID | 7517193188 |
|---|---|
| Medicare Enrollment ID | O20131204001512 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1477983120 | NPI | - | NPPES |
| 0047894 | Medicaid | IA |
| Provider Name | Donald M Kaesser |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1487745402 PECOS PAC ID: 1850349861 Enrollment ID: I20050106000454 |
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