Ottumwa Foot & Ankle Clinic | |
1005 Pennsylvania Ave, Suite 202, Ottumwa, IA 52501-6413 | |
(641) 684-8448 | |
(641) 684-4055 |
Full Name | Ottumwa Foot & Ankle Clinic |
---|---|
Type | Facility |
Speciality | Podiatrist |
Location | 1005 Pennsylvania Ave, Ottumwa, Iowa |
Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1154549640 | NPI | - | NPPES |
0249003 | Medicaid | IA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
213E00000X | Podiatrist | 00453 (Iowa) | Primary |
Provider Name | David L Wanner |
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Provider Type | Practitioner - Podiatry |
Provider Identifiers | NPI Number: 1558566208 PECOS PAC ID: 6305938895 Enrollment ID: I20070829000187 |
Provider Name | Gary E Gansen |
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Provider Type | Practitioner - Podiatry |
Provider Identifiers | NPI Number: 1992170856 PECOS PAC ID: 8921362252 Enrollment ID: I20180514000967 |
Provider Name | Shelbi Dexter |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1164192290 PECOS PAC ID: 4880092311 Enrollment ID: I20211013001460 |
Provider Name | Jacy L Kennedy |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1134780968 PECOS PAC ID: 5092160606 Enrollment ID: I20231017000393 |
Mailing Address | Practice Location Address |
---|---|
Ottumwa Foot & Ankle Clinic 1005 Pennsylvania Ave, Suite 202, Ottumwa, IA 52501-6413 Ph: (641) 684-8448 | Ottumwa Foot & Ankle Clinic 1005 Pennsylvania Ave, Suite 202, Ottumwa, IA 52501-6413 Ph: (641) 684-8448 |
Dr. Bruce H Fridinger, DPM Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 520 N Sheridan Ave, Ottumwa, IA 52501 Phone: 641-683-7901 Fax: 641-682-1158 | |
David L. Wanner, DPM Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 1005 Pennsylvania Ave, Ste 202, Ottumwa, IA 52501 Phone: 641-684-8448 Fax: 641-684-4055 | |
Mr. Scott Byron King, DPM Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 515 Church St, Ottumwa, IA 52501 Phone: 641-575-2054 Fax: 641-575-2057 | |
Foot And Ankle Professional Centers Of Iowa, Pc Podiatrist Medicare: Medicare Enrolled Practice Location: 520 N Sheridan Ave, Ottumwa, IA 52501 Phone: 641-683-7901 Fax: 641-682-1158 | |
Foot And Ankle Associates Podiatrist Medicare: Medicare Enrolled Practice Location: 515 Church St, Ottumwa, IA 52501 Phone: 641-572-2054 Fax: 641-575-2057 |