Dawn Marie Schissel Pc | |
230 S 68th St Suite 1203 West Des Moines IA 50266-8176 | |
(515) 471-1800 | |
(515) 267-1362 |
Full Name | Dawn Marie Schissel Pc |
---|---|
Speciality | Family Medicine |
Location | 230 S 68th St, West Des Moines, Iowa |
Authorized Official Name and Position | Dawn Marie Schissel (PRES AND CEO) |
Authorized Official Contact | 5154711800 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
---|---|
Dawn Marie Schissel Pc 230 S 68th St Suite 1203 West Des Moines IA 50266-8176 Ph: (515) 471-1800 | Dawn Marie Schissel Pc 230 S 68th St Suite 1203 West Des Moines IA 50266-8176 Ph: (515) 471-1800 |
NPI Number | 1265447916 |
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Provider Enumeration Date | 07/30/2006 |
Last Update Date | 10/24/2007 |
Medicare PECOS PAC ID | 0143225730 |
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Medicare Enrollment ID | O20061004000134 |
Identifier | Type | State | Issuer |
---|---|---|---|
1265447916 | NPI | - | NPPES |
0496158 | Medicaid | IA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | 27212 (Iowa) | Primary |
Provider Name | Dawn M Schissel |
---|---|
Provider Type | Practitioner - Emergency Medicine |
Provider Identifiers | NPI Number: 1396730412 PECOS PAC ID: 4587651203 Enrollment ID: I20040426001803 |
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