| Beau E Waddell, MD | |
|
1111 11th St, Hawarden, IA 51023-1903 | |
| (712) 551-3100 | |
| (712) 551-3177 |
| Full Name | Beau E Waddell |
|---|---|
| Gender | Male |
| Speciality | Family Practice |
| Experience | 14 Years |
| Location | 1111 11th St, Hawarden, 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 |
|---|---|---|---|
| 1053713636 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 62893-20 (Wisconsin) | Secondary |
| 207Q00000X | Family Medicine | MD-43267 (Iowa) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Mercyhealth At Home | Janesville, WI | Home health agency |
| Mercy Assisted Care | Janesville, WI | Hospice |
| Agrace Hospicecare | Madison, WI | Hospice |
| Mercy Health System Corp | Janesville, WI | Hospital |
| Mercy Walworth Hospital & Medical Center | Lake geneva, WI | Hospital |
| University Of Wi Hospitals & Clinics Authority | Madison, WI | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Mercy Health System Corporation | 7416860440 | 757 |
| Entity Name | Mercy Health System Corporation |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1598718603 PECOS PAC ID: 7416860440 Enrollment ID: O20031113000164 |
| Mailing Address | Practice Location Address |
|---|---|
| Beau E Waddell, MD 1111 11th St, Hawarden, IA 51023-1903 Ph: (712) 551-3100 | Beau E Waddell, MD 1111 11th St, Hawarden, IA 51023-1903 Ph: (712) 551-3100 |
Dr. Monte James Harvey, D.O. Family Medicine Medicare: Medicare Enrolled Practice Location: 920 Avenue F, Hawarden, IA 51023 Phone: 712-551-1000 Fax: 712-551-1441 |