| Med Management Associates Of Iowa Pc | |
|
2571 Guthrie Ave Des Moines IA 50317 | |
| (515) 265-7219 | |
| Not Available |
| Full Name | Med Management Associates Of Iowa Pc |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 2571 Guthrie Ave, Des Moines, Iowa |
| Authorized Official Name and Position | Riaz Rahman (DIRECTOR) |
| Authorized Official Contact | 2106153483 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Med Management Associates Of Iowa Pc 7272 Wurzbach Rd Ste 601 San Antonio TX 78240-4803 Ph: (210) 615-3483 | Med Management Associates Of Iowa Pc 2571 Guthrie Ave Des Moines IA 50317 Ph: (515) 265-7219 |
| NPI Number | 1871084384 |
|---|---|
| Provider Enumeration Date | 05/21/2018 |
| Last Update Date | 05/01/2023 |
| Certification Date | 05/01/2023 |
| Medicare PECOS PAC ID | 4183976921 |
|---|---|
| Medicare Enrollment ID | O20181005002764 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1871084384 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0805X | Psychiatry & Neurology - Geriatric Psychiatry | (* (Not Available)) | Primary |
| Provider Name | Jessica S Lilland |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1366748212 PECOS PAC ID: 4082896964 Enrollment ID: I20160324000624 |
| Provider Name | Arisa Miller Mullins |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1245786649 PECOS PAC ID: 7214218874 Enrollment ID: I20161220000954 |
| Provider Name | Erin Bailey |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1932755022 PECOS PAC ID: 0749617793 Enrollment ID: I20200303002680 |
| Provider Name | Laura Owens |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1902574361 PECOS PAC ID: 5890184733 Enrollment ID: I20211115000492 |
| Provider Name | Andrea Elease Myers-griffin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1588321939 PECOS PAC ID: 9931579836 Enrollment ID: I20230111001225 |
| Provider Name | Akueba Minasseh Akakpo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1740993757 PECOS PAC ID: 3072985290 Enrollment ID: I20230215002095 |
| Provider Name | Riaz Rahman |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1275630717 PECOS PAC ID: 8729077235 Enrollment ID: I20230224001172 |
| Provider Name | Jenny Dietz |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1053964452 PECOS PAC ID: 4587098736 Enrollment ID: I20240604000565 |
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