| Travis Underwood, LISW | |
|
226 West Main St Ste 201, Ottumwa, IA 52501-2520 | |
| (641) 682-4804 | |
| (641) 814-5684 |
| Full Name | Travis Underwood |
|---|---|
| Gender | Male |
| Speciality | Clinical Social Worker |
| Experience | 13 Years |
| Location | 226 West Main St Ste 201, Ottumwa, Iowa |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1811307903 | NPI | - | NPPES |
| 1659353670 | Other | IA | BCBS |
| 1659353670 | Medicaid | IA |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Optimae Lifeservices Inc | 8022912211 | 23 |
| Entity Name | Optimae Lifeservices Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1184898470 PECOS PAC ID: 8022912211 Enrollment ID: O20031120000270 |
| Mailing Address | Practice Location Address |
|---|---|
| Travis Underwood, LISW 301 Burlington, Fairfield, IA 52556-3242 Ph: (641) 682-8772 | Travis Underwood, LISW 226 West Main St Ste 201, Ottumwa, IA 52501-2520 Ph: (641) 682-4804 |
Sydney Thomas, Clinical Social Worker Medicare: May Accept Medicare Assignments Practice Location: 1111 N Quincy Ave Ste 137, Ottumwa, IA 52501 Phone: 641-856-2688 Fax: 641-856-2690 | |
Tammy Loerzel, LMSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 201 S Market St, Ottumwa, IA 52501 Phone: 641-683-5773 Fax: 641-226-5759 | |
Joan Summers Willhoit, LISW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 102 N Hancock St, Ottumwa, IA 52501 Phone: 641-683-1302 Fax: 641-683-1309 | |
Jacoby Lynne Deshler, LMSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 1527 Albia Rd, Ottumwa, IA 52501 Phone: 641-682-8772 | |
Kirby Rowl, LISW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 1527 Albia Road, Ottumwa, IA 52501 Phone: 641-682-8772 Fax: 641-682-1924 | |
Brianne Stuchel, LISW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 110 E Main St, Ottumwa, IA 52501 Phone: 641-682-8772 Fax: 641-682-1924 |