| Vitae Health Medical Iowa Pllc | |
|
5010 Grand Ridge Dr West Des Moines IA 50265-5754 | |
| (515) 222-5991 | |
| Not Available |
| Full Name | Vitae Health Medical Iowa Pllc |
|---|---|
| Speciality | Internal Medicine |
| Location | 5010 Grand Ridge Dr, West Des Moines, Iowa |
| Authorized Official Name and Position | Amish Patel (PRESIDENT) |
| Authorized Official Contact | 2247778045 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Vitae Health Medical Iowa Pllc 415 W Golf Rd Ste 26 Arlington Heights IL 60005-3923 Ph: (224) 777-8045 | Vitae Health Medical Iowa Pllc 5010 Grand Ridge Dr West Des Moines IA 50265-5754 Ph: (515) 222-5991 |
| NPI Number | 1811603012 |
|---|---|
| Provider Enumeration Date | 01/31/2023 |
| Last Update Date | 01/31/2023 |
| Certification Date | 01/31/2023 |
| Medicare PECOS PAC ID | 7719343565 |
|---|---|
| Medicare Enrollment ID | O20230519002267 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1811603012 | NPI | - | NPPES |
| Provider Name | Janet L Annen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1386028165 PECOS PAC ID: 8628383080 Enrollment ID: I20170804002528 |
| Provider Name | Alison Mckenzie Lombardo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1194332460 PECOS PAC ID: 0244650190 Enrollment ID: I20201015001269 |
| Provider Name | Reecha Reising |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1184229239 PECOS PAC ID: 5193130896 Enrollment ID: I20210331000786 |
| Provider Name | Lisa Rule |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1306525266 PECOS PAC ID: 2365804234 Enrollment ID: I20230810000420 |
| Provider Name | Marie Even |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1609207612 PECOS PAC ID: 4789028382 Enrollment ID: I20240222002313 |
| Provider Name | Taylor Faye Coleman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1215791769 PECOS PAC ID: 8123464690 Enrollment ID: I20240307001259 |
| Provider Name | Boyoung Shim |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1447016142 PECOS PAC ID: 8628417219 Enrollment ID: I20240416000678 |
| Provider Name | Quinn O'brian |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1588411730 PECOS PAC ID: 2961944517 Enrollment ID: I20240611001084 |
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