| Mr Kevin J Prater, PA-C | |
|
105 Valley West Dr, Suite 100, West Des Moines, IA 50265-3902 | |
| (515) 223-4368 | |
| (515) 453-2368 |
| Full Name | Mr Kevin J Prater |
|---|---|
| Gender | Male |
| Speciality | Physician Assistant |
| Experience | 12 Years |
| Location | 105 Valley West Dr, West Des Moines, Iowa |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1194706176 | NPI | - | NPPES |
| IB2608010 | Other | IA | MEDICARE PTAN |
| IB2878003 | Other | IA | MEDICARE PTAN |
| IB2610005 | Other | IA | MEDICARE PTAN |
| IB2609013 | Other | IA | MEDICARE PTAN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | 001453 (Iowa) | Primary |
| 363AS0400X | Physician Assistant - Surgical | 001453 (Iowa) | Secondary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Greater Regional Medical Center | Creston, IA | Hospital |
| Mercyone Des Moines Medical Center | Des moines, IA | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Iowa Ent Center Pllc | 6406007608 | 14 |
| Mailing Address | Practice Location Address |
|---|---|
| Mr Kevin J Prater, PA-C 105 Valley West Dr, Suite 100, West Des Moines, IA 50265-3902 Ph: (515) 223-4368 | Mr Kevin J Prater, PA-C 105 Valley West Dr, Suite 100, West Des Moines, IA 50265-3902 Ph: (515) 223-4368 |
William Nathaniel Lewis, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 2425 Westown Pkwy Ste 100, West Des Moines, IA 50266 Phone: 515-267-1819 Fax: 515-401-1210 | |
Teresa A Sieck, P.A. Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 5880 University Ave, West Des Moines, IA 50266 Phone: 515-633-3600 Fax: 515-288-0840 | |
Nikki Suzette Williams, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 6001 Westown Pkwy, West Des Moines, IA 50266 Phone: 515-224-1414 Fax: 515-224-5140 | |
Bradley Reed Carroll, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 6001 Westown Pkwy, West Des Moines, IA 50266 Phone: 515-224-1414 Fax: 515-224-5140 | |
Seth Francis Hockaday, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 6001 Westown Pkwy, West Des Moines, IA 50266 Phone: 515-224-1414 | |
Matthew Finnern, Physician Assistant Medicare: Medicare Enrolled Practice Location: 105 Valley West Dr, West Des Moines, IA 50265 Phone: 515-223-4368 | |
Jacy Nunez, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 6001 Westown Pkwy, West Des Moines, IA 50266 Phone: 515-224-1414 Fax: 515-224-5140 |