| Amr Ellaithy, | |
|
200 Hawkins Dr Dept Of, Iowa City, IA 52242-1009 | |
| (319) 356-2580 | |
| (319) 384-8476 |
| Full Name | Amr Ellaithy |
|---|---|
| Gender | Male |
| Speciality | Psychiatry & Neurology - Neurology |
| Location | 200 Hawkins Dr Dept Of, Iowa City, Iowa |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1528550043 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084N0400X | Psychiatry & Neurology - Neurology | R-11155 (Iowa) | Primary |
| 2084N0400X | Psychiatry & Neurology - Neurology | ME162945 (Florida) | Secondary |
| Entity Name | Brigham & Womens Physicians Organization Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1033535497 PECOS PAC ID: 3870405988 Enrollment ID: O20150107001260 |
| Entity Name | Virtual Neurology Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1760940167 PECOS PAC ID: 9830425321 Enrollment ID: O20220525000059 |
| Entity Name | Virtual Neurology Texas Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1467092114 PECOS PAC ID: 3779910047 Enrollment ID: O20231211002994 |
| Entity Name | Telespecialists North Carolina Neurology Services Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1245926138 PECOS PAC ID: 7719348978 Enrollment ID: O20241218003876 |
| Mailing Address | Practice Location Address |
|---|---|
| Amr Ellaithy, 200 Hawkins Dr Dept Of, Iowa City, IA 52242-1009 Ph: (319) 356-2580 | Amr Ellaithy, 200 Hawkins Dr Dept Of, Iowa City, IA 52242-1009 Ph: (319) 356-2580 |
Emily Lelchuk, MD Psychiatry & Neurology Medicare: Medicare Enrolled Practice Location: 200 Hawkins Dr, Iowa City, IA 52242 Phone: 319-356-4658 | |
Dr. Brittnee Marie Haynes, DO Psychiatry & Neurology Medicare: Medicare Enrolled Practice Location: 200 Hawkins Dr, Iowa City, IA 52242 Phone: 319-356-2034 Fax: 319-384-8955 | |
Gary R Gaffney, MD Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 200 Hawkins Dr, Iowa City, IA 52242 Phone: 319-353-6695 Fax: 319-384-8843 | |
Gregory Alden Lukach, MD Psychiatry & Neurology Medicare: Medicare Enrolled Practice Location: 200 Hawkins Dr, Iowa City, IA 52242 Phone: 319-356-8752 Fax: 319-678-7875 | |
Rachel Leah Marshall, MD Psychiatry & Neurology Medicare: Medicare Enrolled Practice Location: 200 Hawkins Dr, Iowa City, IA 52242 Phone: 319-356-8752 Fax: 319-678-7875 | |
Brandon Nickolai Maples, DO Psychiatry & Neurology Medicare: Medicare Enrolled Practice Location: 200 Hawkins Dr, Iowa City, IA 52242 Phone: 319-356-1373 | |
Luke Swartz, Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 200 Hawkins Dr, Iowa City, IA 52242 Phone: 319-384-7507 |