Ross Van Allen, | |
1700 S 1st Ave Ste 25a, Iowa City, IA 52240-6036 | |
(319) 849-8114 | |
Not Available |
Full Name | Ross Van Allen |
---|---|
Gender | Male |
Speciality | Nurse Practitioner - Psychiatric/mental Health |
Location | 1700 S 1st Ave Ste 25a, Iowa City, Iowa |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1023727567 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LP0808X | Nurse Practitioner - Psychiatric/mental Health | G171974 (Iowa) | Primary |
Entity Name | Midwest Ketafusion Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1831790104 PECOS PAC ID: 4284091323 Enrollment ID: O20230606001724 |
Mailing Address | Practice Location Address |
---|---|
Ross Van Allen, 1700 S 1st Ave Ste 25a, Iowa City, IA 52240-6036 Ph: (319) 849-8114 | Ross Van Allen, 1700 S 1st Ave Ste 25a, Iowa City, IA 52240-6036 Ph: (319) 849-8114 |
Renee Gullickson, ARNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 221 E College St, #211, Iowa City, IA 52240 Phone: 319-337-3313 | |
Dr. Daniel Timothy Holthaus, AGNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1403 Mckinley Pl, Iowa City, IA 52246 Phone: 563-379-2100 | |
Bobbi J Jones, ARNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 200 Hawkins Dr, Iowa City, IA 52242 Phone: 319-356-2421 Fax: 319-356-3900 | |
Barbara A Gronstal, ARNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 200 Hawkins Dr, Iowa City, IA 52242 Phone: 319-356-2888 Fax: 319-353-8707 | |
Mrs. Connie Ann Shaw, ARNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 601 Highway 6 W, Iowa City, IA 52246 Phone: 319-338-0581 Fax: 319-887-4920 | |
Mrs. Susan Renee Scott, ARNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2941 Sierra Ct Sw, Iowa City, IA 52240 Phone: 319-337-7642 Fax: 319-339-1449 | |
Ms. Rhonda Jean Dunn, ACNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 200 Hawkins Dr, Iowa City, IA 52242 Phone: 319-356-1311 Fax: 319-353-6290 |