| Kelsey Jean Widgeon, | |
|
1825 Logan Ave, Waterloo, IA 50703-1916 | |
| (319) 235-3607 | |
| (319) 235-3958 |
| Full Name | Kelsey Jean Widgeon |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Experience | 5 Years |
| Location | 1825 Logan Ave, Waterloo, 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 |
|---|---|---|---|
| 1356010425 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 163W00000X | Registered Nurse | 144542 (Iowa) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Allen Hospital | Waterloo, IA | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Allen Memorial Hospital Corporation | 4284546045 | 126 |
| Entity Name | Allen Memorial Hospital Corporation |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1891772927 PECOS PAC ID: 4284546045 Enrollment ID: O20031211000480 |
| Mailing Address | Practice Location Address |
|---|---|
| Kelsey Jean Widgeon, 1825 Logan Ave, Waterloo, IA 50703-1916 Ph: (319) 235-3607 | Kelsey Jean Widgeon, 1825 Logan Ave, Waterloo, IA 50703-1916 Ph: (319) 235-3607 |
Barbara Bigler, Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 4000 University Ave, Waterloo, IA 50701 Phone: 319-235-1230 Fax: 319-235-1229 | |
Michele Lee Jensen, RN Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 604 Lafayette St, Waterloo, IA 50703 Phone: 833-370-0719 Fax: 515-220-2272 | |
Ms. Brooke Holmes, RN Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 3251 W 9th St, Waterloo, IA 50702 Phone: 319-234-2893 Fax: 319-234-0354 | |
Kathy Kroemer, Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 4000 University Ave Ste 100, Waterloo, IA 50701 Phone: 319-235-1230 Fax: 319-235-1229 | |
Casondra L Fonley, Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 4000 University Ave, Waterloo, IA 50701 Phone: 319-235-1230 | |
Julie Marie Gleason, ARNP Registered Nurse Medicare: May Accept Medicare Assignments Practice Location: 3530 W 4th St, Waterloo, IA 50701 Phone: 319-233-2701 Fax: 319-236-7993 | |
Ms. Jessica D Wilkens, RN Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 3251 W 9th St, Waterloo, IA 50702 Phone: 319-234-2893 Fax: 319-234-0354 |