Gerald Bouslog, PT | |
604 Locust St, Suite 210, Des Moines, IA 50309-3705 | |
(515) 282-7019 | |
(515) 282-7213 |
Full Name | Gerald Bouslog |
---|---|
Gender | Male |
Speciality | Physical Therapy |
Experience | 26 Years |
Location | 604 Locust St, 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 |
---|---|---|---|
1477666436 | NPI | - | NPPES |
0475145 | Medicaid | IA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225100000X | Physical Therapist | 02853 (Iowa) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Mercy Clinics Inc | 7911810882 | 373 |
Provider Name | Mercy Clinics Inc |
---|---|
Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1457691941 PECOS PAC ID: 7911810882 Enrollment ID: O20031112000238 |
Mailing Address | Practice Location Address |
---|---|
Gerald Bouslog, PT Po Box 1475, Des Moines, IA 50305-1475 Ph: (515) 282-7219 | Gerald Bouslog, PT 604 Locust St, Suite 210, Des Moines, IA 50309-3705 Ph: (515) 282-7019 |
Tatem Alexandra Edwards, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 2619 Sw 9th St Ste 103, Des Moines, IA 50315 Phone: 515-953-6911 Fax: 515-953-6913 | |
Melissa Hartl, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 4725 Merle Hay Rd, Suite 107, Des Moines, IA 50322 Phone: 515-331-3190 Fax: 515-331-3191 | |
Caitlin Rogers, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 2100 Dixon St Ste E, Des Moines, IA 50316 Phone: 630-853-7248 | |
Britta Utterback, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1301 Penn Ave Ste 308, Des Moines, IA 50316 Phone: 515-263-5143 | |
Megan Kushner, PT, ATC Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 450 Laurel St, Des Moines, IA 50314 Phone: 515-323-6485 | |
Katie L Rasmussen, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1801 Hickman Rd, Des Moines, IA 50314 Phone: 515-282-5621 | |
Moriah Delp, PT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 4725 Merle Hay Rd, Suite 107, Des Moines, IA 50322 Phone: 515-331-3190 Fax: 515-331-3191 |