| Robert Ivey, | |
|
620 Northwestern Dr Pod 4, Storm Lake, IA 50588-2935 | |
| (712) 213-8050 | |
| (712) 213-8015 |
| Full Name | Robert Ivey |
|---|---|
| Gender | Male |
| Speciality | Podiatrist - Foot & Ankle Surgery |
| Location | 620 Northwestern Dr Pod 4, Storm Lake, Iowa |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1669055182 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 213ES0103X | Podiatrist - Foot & Ankle Surgery | 124068 (Iowa) | Primary |
| Provider Name | Lakes Regional Healthcare |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1336291160 PECOS PAC ID: 0941118442 Enrollment ID: O20031223000386 |
| Provider Name | Buena Vista Regional Medical Center |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1780755728 PECOS PAC ID: 3476464421 Enrollment ID: O20040109001054 |
| Provider Name | Spencer Municipal Hospital |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1396732186 PECOS PAC ID: 4183533060 Enrollment ID: O20040128000325 |
| Provider Name | Buena Vista Regional Medical Center |
|---|---|
| Provider Type | Part A Provider - Critical Access Hospital |
| Provider Identifiers | NPI Number: 1134191653 PECOS PAC ID: 3476464421 Enrollment ID: O20070125000132 |
| Mailing Address | Practice Location Address |
|---|---|
| Robert Ivey, 1200 1st Ave E Ste C, Spencer, IA 51301-4342 Ph: (712) 262-7511 | Robert Ivey, 620 Northwestern Dr Pod 4, Storm Lake, IA 50588-2935 Ph: (712) 213-8050 |
Randy L Crampton, DPM Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 415 W Railroad St, Storm Lake, IA 50588 Phone: 712-732-6396 Fax: 712-732-9534 | |
John R Gouldin Podiatrist Medicare: Not Enrolled in Medicare Practice Location: 904 Flindt Dr, Storm Lake, IA 50588 Phone: 712-732-2876 Fax: 712-732-2876 |