Madrid Family Practice Clinic | |
623 W North St Madrid IA 50156-1023 | |
(515) 795-4300 | |
(515) 433-8905 |
Full Name | Madrid Family Practice Clinic |
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Speciality | Nurse Practitioner |
Location | 623 W North St, Madrid, Iowa |
Authorized Official Name and Position | Mikaela Kienitz (CEO) |
Authorized Official Contact | 5154323140 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Madrid Family Practice Clinic 623 W North St Madrid IA 50156-1023 Ph: (515) 795-4300 | Madrid Family Practice Clinic 623 W North St Madrid IA 50156-1023 Ph: (515) 795-4300 |
NPI Number | 1508882705 |
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Provider Enumeration Date | 07/14/2006 |
Last Update Date | 10/10/2023 |
Medicare PECOS PAC ID | 6507850146 |
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Medicare Enrollment ID | O20040414001240 |
Identifier | Type | State | Issuer |
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1508882705 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QR1300X | Clinic/center - Rural Health | (Iowa) | Secondary |
363LF0000X | Nurse Practitioner - Family | (* (Not Available)) | Primary |
Provider Name | Eric M Peterson |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1710955877 PECOS PAC ID: 9133141468 Enrollment ID: I20051229000479 |
Provider Name | Abby R Bennett |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1780041178 PECOS PAC ID: 2365746179 Enrollment ID: I20160215000918 |
Provider Name | Brianne L Wessels |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1649886029 PECOS PAC ID: 1951715523 Enrollment ID: I20210122002235 |
Provider Name | Stephanie A Gorsuch |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1942975578 PECOS PAC ID: 2668870734 Enrollment ID: I20211005001421 |
Provider Name | Shana Lynn Martinez |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1720618788 PECOS PAC ID: 1658799697 Enrollment ID: I20220329001554 |
Provider Name | Anna Allen |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1982482212 PECOS PAC ID: 7618322322 Enrollment ID: I20231016003205 |
Global Wellness Medical Clinic Pc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 201 W 2nd St, Madrid, IA 50156 Phone: 515-795-2001 Fax: 515-795-3656 |