| Theresa Macdissi, PA-C | |
|
1 Edmundson Pl Ste 306, Council Bluffs, IA 51503 | |
| (712) 396-7787 | |
| (712) 396-4115 |
| Full Name | Theresa Macdissi |
|---|---|
| Gender | Female |
| Speciality | Physician Assistant |
| Experience | 11 Years |
| Location | 1 Edmundson Pl Ste 306, Council Bluffs, Iowa |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1164840617 | NPI | - | NPPES |
| 47068731713 | Medicaid | NE | |
| 1164840617 | Medicaid | IA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363AM0700X | Physician Assistant - Medical | 1802 (Nebraska) | Secondary |
| 363A00000X | Physician Assistant | 092083 (Iowa) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Methodist Jennie Edmundson | Council bluffs, IA | Hospital |
| Montgomery County Memorial Hospital | Red oak, IA | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Physicians Clinic Inc | 4880506062 | 505 |
| Mailing Address | Practice Location Address |
|---|---|
| Theresa Macdissi, PA-C Po Box 3755, Omaha, NE 68103-0755 Ph: (402) 354-2100 | Theresa Macdissi, PA-C 1 Edmundson Pl Ste 306, Council Bluffs, IA 51503 Ph: (712) 396-7787 |
Kayden L Reilly, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 800 Mercy Dr, Council Bluffs, IA 51503 Phone: 855-524-4001 Fax: 712-325-2499 | |
Leah Abebe, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 902 S 6th St, Council Bluffs, IA 51501 Phone: 712-325-1990 | |
Isabella Ann Phillips, PA Physician Assistant Medicare: Medicare Enrolled Practice Location: 412 Forest Glen Dr, Council Bluffs, IA 51503 Phone: 712-308-4459 | |
Sara Rygol, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 2201 W Broadway, Suite 9, Council Bluffs, IA 51501 Phone: 712-328-9100 | |
Mr. Wyatt Allen Schmidt, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 3502 Metro Drive, Suite 200, Council Bluffs, IA 51501 Phone: 712-256-7172 Fax: 712-256-7374 | |
Jodi L Stowater-goodrich, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 1288 Valley View Dr, Council Bluffs, IA 51503 Phone: 712-328-8800 Fax: 712-328-8461 |