Waypoint Medical Llc | |
1801 Us Highway 18 E Clear Lake IA 50428-2162 | |
(641) 357-1999 | |
Not Available |
Full Name | Waypoint Medical Llc |
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Speciality | Family Medicine |
Location | 1801 Us Highway 18 E, Clear Lake, Iowa |
Authorized Official Name and Position | John Glenn Brady (CEO/PHYSICIAN) |
Authorized Official Contact | 5152056043 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Waypoint Medical Llc 1801 Us Highway 18 E Clear Lake IA 50428-2162 Ph: (641) 357-1999 | Waypoint Medical Llc 1801 Us Highway 18 E Clear Lake IA 50428-2162 Ph: (641) 357-1999 |
NPI Number | 1538704945 |
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Provider Enumeration Date | 11/08/2019 |
Last Update Date | 07/10/2020 |
Medicare PECOS PAC ID | 4981031804 |
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Medicare Enrollment ID | O20200305000216 |
Identifier | Type | State | Issuer |
---|---|---|---|
1538704945 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | (* (Not Available)) | Primary |
Provider Name | John G Brady |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1154382513 PECOS PAC ID: 9032281019 Enrollment ID: I20080708000530 |
Provider Name | Josiah D Brinkley |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1659539427 PECOS PAC ID: 9638349442 Enrollment ID: I20150318002334 |
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