| Meditelecare Of Iowa Pllc | |
|
400 E Court Ave Ste 110 Des Moines IA 50309-2027 | |
| (860) 788-6404 | |
| (860) 829-0495 |
| Full Name | Meditelecare Of Iowa Pllc |
|---|---|
| Speciality | Psychologist |
| Location | 400 E Court Ave Ste 110, Des Moines, Iowa |
| Authorized Official Name and Position | Andrea Godfrey (CREDENTIALING & ENROLLMENT MANAGER) |
| Authorized Official Contact | 8607886404 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Meditelecare Of Iowa Pllc Po Box 1595 Middletown CT 06457-8095 Ph: (860) 788-6404 | Meditelecare Of Iowa Pllc 400 E Court Ave Ste 110 Des Moines IA 50309-2027 Ph: (860) 788-6404 |
| NPI Number | 1386146678 |
|---|---|
| Provider Enumeration Date | 03/02/2018 |
| Last Update Date | 05/06/2024 |
| Certification Date | 05/06/2024 |
| Medicare PECOS PAC ID | 0446512503 |
|---|---|
| Medicare Enrollment ID | O20180329001998 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1386146678 | NPI | - | NPPES |
| Provider Name | Laura J Dunlap |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1184666000 PECOS PAC ID: 3971576356 Enrollment ID: I20050728001104 |
| Provider Name | Ana Mercedes Lopez |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1790993962 PECOS PAC ID: 5597788117 Enrollment ID: I20060110000713 |
| Provider Name | Cheryl Lynn White |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1164414561 PECOS PAC ID: 7214995216 Enrollment ID: I20160812001526 |
| Provider Name | Joanie Defibaugh |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1417011313 PECOS PAC ID: 5698814846 Enrollment ID: I20160912000826 |
| Provider Name | Misty Boyd |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1568455764 PECOS PAC ID: 8729000344 Enrollment ID: I20170405002358 |
| Provider Name | Amarachi Chika Ogbonnaya-akpa |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1386038024 PECOS PAC ID: 9436461266 Enrollment ID: I20170629002382 |
| Provider Name | Vickie L Robbins |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1417046962 PECOS PAC ID: 7517289788 Enrollment ID: I20180405001851 |
| Provider Name | Sharon B Stegall |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1447580816 PECOS PAC ID: 9133255300 Enrollment ID: I20180507000191 |
| Provider Name | Holly E Labertew |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1023517125 PECOS PAC ID: 6103180625 Enrollment ID: I20180510000261 |
| Provider Name | Cheryl A France |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1134144215 PECOS PAC ID: 1557550175 Enrollment ID: I20181012002667 |
| Provider Name | Tiffany Nickie-hull |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1457503534 PECOS PAC ID: 7719268374 Enrollment ID: I20181017000140 |
| Provider Name | Sylvia K Williams |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1437485323 PECOS PAC ID: 5193869360 Enrollment ID: I20181203000549 |
| Provider Name | Regina Young |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1124298849 PECOS PAC ID: 5193895845 Enrollment ID: I20190301000760 |
| Provider Name | Kimberly Souza |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1902200645 PECOS PAC ID: 3072735703 Enrollment ID: I20190410003123 |
| Provider Name | Katrina Alexander |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1821498312 PECOS PAC ID: 6204260656 Enrollment ID: I20191218001712 |
| Provider Name | Kathleen Tallent |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1528238698 PECOS PAC ID: 5991874455 Enrollment ID: I20200419000301 |
| Provider Name | Marie Bissell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1922393776 PECOS PAC ID: 2668650011 Enrollment ID: I20200515001409 |
| Provider Name | Gabrielle Frankenfield |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1811231749 PECOS PAC ID: 4486806726 Enrollment ID: I20210802001916 |
| Provider Name | Salvi M Alday |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1871239954 PECOS PAC ID: 2961884721 Enrollment ID: I20220727000665 |
| Provider Name | Emily Drury |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1659889319 PECOS PAC ID: 5991041295 Enrollment ID: I20221026001914 |
| Provider Name | Cristina Ruzila |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1568727550 PECOS PAC ID: 5799939039 Enrollment ID: I20230125002676 |
| Provider Name | Jennifer Glidewell |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1588199970 PECOS PAC ID: 8325428907 Enrollment ID: I20230330001221 |
| Provider Name | Jason Walker |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1972026946 PECOS PAC ID: 7719332048 Enrollment ID: I20231028000286 |
Mercy Ruan Neurology Clinic Central Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1111 6th Ave, East Tower Suite A100, Des Moines, IA 50314 Phone: 515-358-0011 Fax: 515-358-0099 | |
Multicultural Institute Of Therapeutic Excellence Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 4313 University Ave, Des Moines, IA 50311 Phone: 515-802-2487 | |
Beyond Wellness Pllc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 699 Walnut St Ste 400, Des Moines, IA 50309 Phone: 855-380-6136 | |
Guided Journeys Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 2601 E 40th St, Des Moines, IA 50317 Phone: 515-218-7220 | |
Unitypoint Health - Des Moines Iowa Methodist Medical Center Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 700 E University Ave, Des Moines, IA 50316 Phone: 515-263-5612 | |
The Healing Space Counseling Center, Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 3810 1/2 Douglas Ave, Des Moines, IA 50310 Phone: 515-423-2333 | |
Openloop Healthcare Partners Pc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 317 6th Ave Ste 400, Des Moines, IA 50309 Phone: 515-216-0962 |