| Curt C Mcclellan, DO | |
|
5409 Avenue O, Po Box 174, Fort Madison, IA 52627-0174 | |
| (319) 376-2134 | |
| (319) 376-2188 |
| Full Name | Curt C Mcclellan |
|---|---|
| Gender | Male |
| Speciality | Pediatrics |
| Location | 5409 Avenue O, Fort Madison, Iowa |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1558331389 | NPI | - | NPPES |
| 504130 | Other | IA | IOWA HEALTH SOLUTIONS |
| 70309 | Other | IA | WELLMARK |
| 1425371 | Medicaid | IA | |
| IA01ZH | Other | UHCRV |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208000000X | Pediatrics | 3551 (Iowa) | Secondary |
| 208000000X | Pediatrics | DO03551 (Iowa) | Primary |
| Entity Name | Missouri Delta Medical Center |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1508967860 PECOS PAC ID: 1355252891 Enrollment ID: O20040308001306 |
| Mailing Address | Practice Location Address |
|---|---|
| Curt C Mcclellan, DO 5409 Avenue O, Fort Madison, IA 52627-9601 Ph: (319) 376-2134 | Curt C Mcclellan, DO 5409 Avenue O, Po Box 174, Fort Madison, IA 52627-0174 Ph: (319) 376-2134 |
Gregory F Gorski, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 5409 Avenue O, Fort Madison, IA 52627 Phone: 319-376-2134 Fax: 319-376-2188 | |
Kolleen Burnett, Pediatrics Medicare: Medicare Enrolled Practice Location: 5409 Avenue O, Fort Madison, IA 52627 Phone: 319-376-2134 Fax: 319-376-2188 | |
Bryan Christopher Blacker, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 5409 Avenue O Ste 121, Fort Madison, IA 52627 Phone: 319-372-5437 Fax: 319-376-2719 | |
Susan E Teggatz, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 5409 Avenue O, Suite 1, Fort Madison, IA 52627 Phone: 319-376-2134 Fax: 319-376-2188 |