| Prairie Ridge | |
|
320 N Eisenhower Ave Mason City IA 50401-1521 | |
| (641) 424-2391 | |
| Not Available |
| Full Name | Prairie Ridge |
|---|---|
| Speciality | Substance Abuse Rehabilitation Facility |
| Location | 320 N Eisenhower Ave, Mason City, Iowa |
| Authorized Official Name and Position | Jay Hansen (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 6414242391 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Prairie Ridge Po Box 1338 Mason City IA 50402-1338 Ph: (641) 424-2391 | Prairie Ridge 320 N Eisenhower Ave Mason City IA 50401-1521 Ph: (641) 424-2391 |
| NPI Number | 1952443632 |
|---|---|
| Provider Enumeration Date | 02/12/2007 |
| Last Update Date | 08/25/2017 |
| Medicare PECOS PAC ID | 6800169194 |
|---|---|
| Medicare Enrollment ID | O20170908000404 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1952443632 | NPI | - | NPPES |
| Provider Name | Debra K Groath |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1265534937 PECOS PAC ID: 6305804055 Enrollment ID: I20041228000407 |
| Provider Name | Jeannie M Giordano-shanks |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1184964272 PECOS PAC ID: 6204886021 Enrollment ID: I20050128000333 |
| Provider Name | Maria A Morcuende |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1639109143 PECOS PAC ID: 9739195306 Enrollment ID: I20070921000227 |
| Provider Name | Charity Baker |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1982820866 PECOS PAC ID: 1153406020 Enrollment ID: I20091014000105 |
| Provider Name | Shelby R Allen-benitz |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1174759666 PECOS PAC ID: 3375799414 Enrollment ID: I20120806000804 |
| Provider Name | Sara E Kuhn |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1225414576 PECOS PAC ID: 0547578767 Enrollment ID: I20151007001606 |
| Provider Name | Catherine L Weiner |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1730420647 PECOS PAC ID: 0143595686 Enrollment ID: I20171009002307 |
| Provider Name | Dawn D Theilen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1386600179 PECOS PAC ID: 5395011829 Enrollment ID: I20171027000097 |
| Provider Name | Collette F Ngante |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1619331204 PECOS PAC ID: 8921399155 Enrollment ID: I20171129002024 |
| Provider Name | Melinda A Struthoff |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1265924138 PECOS PAC ID: 8224384672 Enrollment ID: I20180627002846 |
| Provider Name | Daniel Watts |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1437702289 PECOS PAC ID: 6002145562 Enrollment ID: I20190909001587 |
| Provider Name | Carol A Ogea |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1013918051 PECOS PAC ID: 1557793353 Enrollment ID: I20191116000217 |
| Provider Name | Christina L Blake |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1245765841 PECOS PAC ID: 2466724075 Enrollment ID: I20200221001825 |
| Provider Name | Shea Marie Jorgensen |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1396272233 PECOS PAC ID: 7214206275 Enrollment ID: I20201130002124 |
| Provider Name | Kristen M Henley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1316361272 PECOS PAC ID: 0345533436 Enrollment ID: I20220108000166 |
| Provider Name | Nader Shakir |
|---|---|
| Provider Type | Practitioner - Osteopathic Manipulative Medicine |
| Provider Identifiers | NPI Number: 1750811535 PECOS PAC ID: 0749550374 Enrollment ID: I20220404000205 |
| Provider Name | Daniel L Bench |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1598156416 PECOS PAC ID: 4688992902 Enrollment ID: I20220628000697 |
| Provider Name | Kimberly J Smith |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1881238244 PECOS PAC ID: 5294111431 Enrollment ID: I20220926002410 |
| Provider Name | Kimberly Reese |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1295444099 PECOS PAC ID: 3971973520 Enrollment ID: I20221223001140 |
| Provider Name | Rashmi T Williams |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1942610902 PECOS PAC ID: 5597063776 Enrollment ID: I20230125002470 |
| Provider Name | Jessica Throndson |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1871927251 PECOS PAC ID: 6305295056 Enrollment ID: I20231207000644 |
| Provider Name | Kelsi Renee Jaspers |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1427453448 PECOS PAC ID: 2062861636 Enrollment ID: I20231207001735 |
| Provider Name | Jennifer Lynn Tarr |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1881028207 PECOS PAC ID: 4789033382 Enrollment ID: I20231207003051 |
| Provider Name | Anthony Jennings |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1093323693 PECOS PAC ID: 2668821133 Enrollment ID: I20231208001793 |
| Provider Name | Stacy Lewis |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1316392269 PECOS PAC ID: 7315397015 Enrollment ID: I20231221000207 |
| Provider Name | Rebeca L Krogan |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1932685161 PECOS PAC ID: 5890131734 Enrollment ID: I20240313002941 |
| Provider Name | Breanna Johnson |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1063847473 PECOS PAC ID: 5597102228 Enrollment ID: I20240318001860 |
| Provider Name | Abraham Wasserman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1720846058 PECOS PAC ID: 6901248749 Enrollment ID: I20240524002970 |
Avalon Center Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 22 N Georgia Ave, Suite #102, Mason City, IA 50401 Phone: 641-422-0070 Fax: 641-422-0060 | |
Lindstrom Family Practice P.c. Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 1327 6th Sw, Mason City, IA 50401 Phone: 641-423-0711 Fax: 641-423-0713 | |
Mood Food Wellness Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 520 S Pierce Ave Ste 213, Mason City, IA 50401 Phone: 641-426-0650 | |
Good Shepherd Geriatric Center, Inc. Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 302 2nd St Ne, Mason City, IA 50401 Phone: 641-424-1740 | |
Parents United Of North Central Iowa, Inc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 600 1st St Nw Ste 107, Mason City, IA 50401 Phone: 541-424-5232 Fax: 641-424-8141 | |
Lancaster Counseling Services Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 202 1st St Se Ste 103, Mason City, IA 50401 Phone: 641-420-1637 | |
Mercy Phychiatric Physicians Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1000 4th St Sw, Suite Psy, Mason City, IA 50401 Phone: 641-422-7797 Fax: 641-422-7516 |