| John M. Ippolito Md, P.c | |
|
201 Ridge St Suite 301 Council Bluffs IA 51503-4643 | |
| (712) 256-0791 | |
| (712) 256-0807 |
| Full Name | John M. Ippolito Md, P.c |
|---|---|
| Speciality | Internal Medicine |
| Location | 201 Ridge St, Council Bluffs, Iowa |
| Authorized Official Name and Position | John M Ippolito (PRESIDENT) |
| Authorized Official Contact | 7122560791 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| John M. Ippolito Md, P.c 201 Ridge St Suite 301 Council Bluffs IA 51503-4643 Ph: (712) 256-0791 | John M. Ippolito Md, P.c 201 Ridge St Suite 301 Council Bluffs IA 51503-4643 Ph: (712) 256-0791 |
| NPI Number | 1548310394 |
|---|---|
| Provider Enumeration Date | 01/12/2007 |
| Last Update Date | 04/24/2013 |
| Medicare PECOS PAC ID | 9335035054 |
|---|---|
| Medicare Enrollment ID | O20040227000370 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1548310394 | NPI | - | NPPES |
| 1044065 | Medicaid | IA | |
| 1548310394 | Medicaid | NE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 25954 (Iowa) | Primary |
| Provider Name | John M Ippolito |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1215929708 PECOS PAC ID: 1052207776 Enrollment ID: I20040227000428 |
Ridge Family Practice, Pc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 201 Ridge St, Suite 201, Council Bluffs, IA 51503 Phone: 712-322-5899 Fax: 712-322-5730 | |
Chi Health Quick Care Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2323 W Broadway, Council Bluffs, IA 51501 Phone: 800-253-4368 Fax: 712-256-3456 | |
Infectious Disease Associates Pc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 933 E Pierce St, Council Bluffs, IA 51503 Phone: 712-396-6000 | |
Diagnostic & Int Med Assoc Pc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 201 Ridge St, Suite 302, Council Bluffs, IA 51503 Phone: 712-322-5532 Fax: 800-293-4214 | |
Midwest Nutrition, Pllc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 103 North Ave Ste 8, Council Bluffs, IA 51503 Phone: 662-322-9037 | |
Hopp Physical Therapy, Inc. Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 201 W Broadway, Council Bluffs, IA 51503 Phone: 712-329-9419 Fax: 712-329-0329 | |
Farid Sadr, P.c. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 801 Harmony St Ste 202, Council Bluffs, IA 51503 Phone: 712-308-1563 Fax: 712-388-2722 |