| Jerome R. Greenberg, O.d., P.c. | |
|
1242 E 14th St Des Moines IA 50316-2402 | |
| (515) 263-0295 | |
| (515) 263-0115 |
| Full Name | Jerome R. Greenberg, O.d., P.c. |
|---|---|
| Speciality | Clinic/center |
| Location | 1242 E 14th St, Des Moines, Iowa |
| Authorized Official Name and Position | Jerome Richard Greenberg (PRESIDENT) |
| Authorized Official Contact | 5152630295 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Jerome R. Greenberg, O.d., P.c. 1242 E 14th St Des Moines IA 50316-2402 Ph: (515) 263-0295 | Jerome R. Greenberg, O.d., P.c. 1242 E 14th St Des Moines IA 50316-2402 Ph: (515) 263-0295 |
| NPI Number | 1326294463 |
|---|---|
| Provider Enumeration Date | 08/08/2008 |
| Last Update Date | 10/27/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1326294463 | NPI | - | NPPES |
| 17996 | Other | IA | FIRST ADMINISTRATORS |
| 17996 | Other | IA | MUTUAL OF OMAHA |
| 6155 | Other | IA | MIDLANDS CHOICE |
| 0000 | Other | IA | TRIWEST |
| 81376 | Other | IA | COVENTRY HEALTHCARE |
| 0005314 | Medicaid | IA | |
| 17996 | Other | IA | WELLMARK BLUE SHIELD |
| IA0101 | Other | IA | UNITED HEALTHCARE OF THE RIVER VALLEY |
| 81376 | Other | IA | COVENTRY ADVANTRA |
| 410020694 | Other | IA | RAILROAD MEDICARE |
| 81376 | Other | IA | ADVANTRA FREEDOM |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | 01709 (Iowa) | Primary |
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