Carol Jane Graves, | |
4 E 6th St, Atlantic, IA 50022-1566 | |
(712) 792-4368 | |
Not Available |
Full Name | Carol Jane Graves |
---|---|
Gender | Female |
Speciality | Nurse Practitioner |
Experience | 4 Years |
Location | 4 E 6th St, Atlantic, Iowa |
Accepts Medicare Assignments | May be. She may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1588105365 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LF0000X | Nurse Practitioner - Family | A068580 (Iowa) | Secondary |
363L00000X | Nurse Practitioner | A068580 (Iowa) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Johnson Health Center | 9537060413 | 32 |
Johnson Health Center | 9537060413 | 32 |
Entity Name | Johnson Health Center |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1316926538 PECOS PAC ID: 9537060413 Enrollment ID: O20040709000047 |
Entity Name | Johnson Health Center |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1508231036 PECOS PAC ID: 9537060413 Enrollment ID: O20161128001555 |
Mailing Address | Practice Location Address |
---|---|
Carol Jane Graves, 5505 University Ave, Des Moines, IA 50311-2237 Ph: (540) 500-8100 | Carol Jane Graves, 4 E 6th St, Atlantic, IA 50022-1566 Ph: (712) 792-4368 |
Mrs. Haley Dawn Kickland, DNP, FNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1101 E 7th St, Atlantic, IA 50022 Phone: 712-243-5790 Fax: 712-243-3975 | |
Tarrah L Holliday, ARNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2307 Olive St, Atlantic, IA 50022 Phone: 712-243-2606 Fax: 712-243-2688 | |
Suzanne M Beitzel, ARNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1501 E 10th St, Atlantic, IA 50022 Phone: 712-243-2850 Fax: 712-243-7423 | |
Mrs. Dianna Marie Prokupek, ARNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1408 East 10th St, Atlantic, IA 50022 Phone: 712-243-2606 Fax: 712-243-2688 | |
Shannon Peterson, DNP, ARNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1501 E 10th St, Atlantic, IA 50022 Phone: 712-243-2850 Fax: 712-243-7423 | |
Mrs. Shelli Dee Brown, ARNP, PMHNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 2307 Olive St, Atlantic, IA 50022 Phone: 712-243-2606 Fax: 712-243-2688 | |
Mrs. Cynthia Y Wu, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1501 E 10th St, Atlantic, IA 50022 Phone: 712-243-7510 |