Ent Clinic Of Iowa, Pc is a medicare enrolled "Otolaryngology" provider in West Des Moines, Iowa. Their current practice location is
2600 Westown Pkwy Ste 360, West Des Moines, Iowa. You can reach out to their office (for appointments etc.) via phone at
(515) 267-1800.
Ent Clinic Of Iowa, Pc is licensed to practice in * (Not Available) (license number ) and it also participates in the medicare program. Ent Clinic Of Iowa, Pc
is enrolled with medicare and should accept medicare assignments and since they are enrolled in medicare, they may order Medicare Part D Prescription drugs, if eligible. The facility's NPI Number is 1033162706.
Healthcare Provider's Profile
| Full Name | Ent Clinic Of Iowa, Pc |
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| Type | Facility |
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| Speciality | Otolaryngology |
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| Location | 2600 Westown Pkwy Ste 360, West Des Moines, Iowa |
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| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1033162706
- Provider Enumeration Date: 05/17/2006
- Last Update Date: 08/24/2020
Medicare PECOS Information:
- PECOS PAC ID: 9032005665
- Enrollment ID: O20040223000368
Medical Identifiers
Medical identifiers for Ent Clinic Of Iowa, Pc such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1033162706 | NPI | - | NPPES |
| 0190967 | Medicaid | IA | |
| 49532 | Other | IA | BCBS GROUP NUMBER |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 231H00000X | Audiologist | (* (Not Available)) | Secondary |
| 363L00000X | Nurse Practitioner | (* (Not Available)) | Secondary |
| 207YS0123X | Otolaryngology - Facial Plastic Surgery | (* (Not Available)) | Secondary |
| 207YX0602X | Otolaryngology - Otolaryngic Allergy | (* (Not Available)) | Secondary |
| 208D00000X | General Practice | (* (Not Available)) | Secondary |
| 207Y00000X | Otolaryngology | (* (Not Available)) | Primary |
Medicare Reassignments
Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works.
Ent Clinic Of Iowa, Pc acts as a billing entity for following providers:
| Provider Name | Douglas R Hoisington |
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| Provider Type | Practitioner - Otolaryngology |
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| Provider Identifiers | NPI Number: 1184682189
PECOS PAC ID: 9739075375
Enrollment ID: I20091021000442 |
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| Provider Name | Ashley H Flattery |
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| Provider Type | Practitioner - Nurse Practitioner |
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| Provider Identifiers | NPI Number: 1639462708
PECOS PAC ID: 2860670155
Enrollment ID: I20110711000604 |
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| Provider Name | Andrew Keiner |
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| Provider Type | Practitioner - Qualified Audiologist |
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| Provider Identifiers | NPI Number: 1407280324
PECOS PAC ID: 1153660501
Enrollment ID: I20190228002284 |
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Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Ent Clinic Of Iowa, Pc is
enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Ent Clinic Of Iowa, Pc
2600 Westown Pkwy Ste 360,
West Des Moines, IA 50266-7306
Ph: (515) 267-1800 | Ent Clinic Of Iowa, Pc
2600 Westown Pkwy Ste 360,
West Des Moines, IA 50266-7306
Ph: (515) 267-1800 |
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