Winnmed Decorah Clinic | |
901 Montgomery St Decorah IA 52101-2325 | |
(563) 382-2911 | |
(563) 387-3102 |
Full Name | Winnmed Decorah Clinic |
---|---|
Speciality | Clinic/Center |
Location | 901 Montgomery St, Decorah, Iowa |
Authorized Official Name and Position | Steven Slessor (CAO) |
Authorized Official Contact | 5633873145 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
---|---|
Winnmed Decorah Clinic 901 Montgomery St Decorah IA 52101-2325 Ph: (563) 382-2911 | Winnmed Decorah Clinic 901 Montgomery St Decorah IA 52101-2325 Ph: (563) 382-2911 |
NPI Number | 1992854863 |
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Provider Enumeration Date | 01/09/2007 |
Last Update Date | 06/29/2023 |
Medicare PECOS PAC ID | 4688582935 |
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Medicare Enrollment ID | O20040316001437 |
Identifier | Type | State | Issuer |
---|---|---|---|
1992854863 | NPI | - | NPPES |
1100830 | Medicaid | IA | |
0102243 | Medicaid | IA | |
2100830 | Medicaid | IA | |
0100830 | Medicaid | IA | |
4100830 | Medicaid | IA | |
5100830 | Medicaid | IA | |
0121285 | Medicaid | IA | |
0704253 | Medicaid | IA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QM1300X | Clinic/center - Multi-specialty | 960127H (Iowa) | Primary |
Provider Name | Gregory Wiseman |
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Provider Type | Practitioner - Nuclear Medicine |
Provider Identifiers | NPI Number: 1205816329 PECOS PAC ID: 9537203534 Enrollment ID: I20240612000393 |
Gundersen Regional Clinics Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1830 State Highway 9 Ste 100, Decorah, IA 52101 Phone: 608-782-7300 | |
Winnmed Mabel Clinic Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 901 Montgomery St, Decorah, IA 52101 Phone: 563-382-2911 | |
Family Care Clinic Pc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 903 Commerce Dr, Decorah, IA 52101 Phone: 563-382-1200 Fax: 563-382-1211 | |
Gundersen Nonaco Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1830 State Highway 9 Ste 100, Decorah, IA 52101 Phone: 608-782-7300 | |
Winnmed Luther Clinic Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 700 College Drive, Larsen Building-ll, Decorah, IA 52101 Phone: 563-387-1045 Fax: 563-387-1053 | |
The Family Care Clinic Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 911 S Mill St, Decorah, IA 52101 Phone: 563-382-1200 Fax: 563-382-1211 | |
Gl Decorah Clinic Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1830 State Highway 9, Decorah, IA 52101 Phone: 608-782-7300 |