| Daniel A Trautman, MD | |
|
855 A Ave Ne, Suite 100, Cedar Rapids, IA 52402-5057 | |
| (319) 362-0200 | |
| (319) 399-5186 |
| Full Name | Daniel A Trautman |
|---|---|
| Gender | Male |
| Speciality | Pediatric Medicine |
| Experience | 35 Years |
| Location | 855 A Ave Ne, Cedar Rapids, 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 |
|---|---|---|---|
| 1912985680 | NPI | - | NPPES |
| 110114212 | Other | IA | RR MEDICARE |
| 1912985680 | Medicaid | IA | |
| 0125591 | Medicaid | IA | |
| 1125591 | Medicaid | IA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 30615 (Iowa) | Primary |
| 208000000X | Pediatrics | 30615 (Iowa) | Secondary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Kindred At Home | Hiawatha, IA | Home health agency |
| St Lukes Hospital | Cedar rapids, IA | Hospital |
| Jones Regional Medical Center | Anamosa, IA | Hospital |
| Mercy Medical Center - Cedar Rapids | Cedar rapids, IA | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Iowa Physicians Clinic Medical Foundation | 8729992318 | 1047 |
| Entity Name | Iowa Physicians Clinic Medical Foundation |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1366425274 PECOS PAC ID: 8729992318 Enrollment ID: O20031118000363 |
| Entity Name | St Lukes Methodist Hospital |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1073553939 PECOS PAC ID: 6608786751 Enrollment ID: O20040204000942 |
| Mailing Address | Practice Location Address |
|---|---|
| Daniel A Trautman, MD 855 A Ave Ne, Suite 100, Cedar Rapids, IA 52402-5057 Ph: (319) 362-0200 | Daniel A Trautman, MD 855 A Ave Ne, Suite 100, Cedar Rapids, IA 52402-5057 Ph: (319) 362-0200 |
Dr. Stanley John Mathew, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 855 A Ave Ne Ste 105, Cedar Rapids, IA 52402 Phone: 319-368-5992 Fax: 319-369-8251 | |
Chirantan Ghosh, MD Internal Medicine Medicare: Medicare Enrolled Practice Location: 1951 51st St Ne, Cedar Rapids, IA 52402 Phone: 319-294-1899 Fax: 319-294-1773 | |
Leon L Qiao, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 931 8th Ave Se, Cedar Rapids, IA 52401 Phone: 319-366-8695 Fax: 319-366-0795 | |
Boothapuri Venkatesh, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 202 10th St Se, Suite 225, Cedar Rapids, IA 52403 Phone: 319-364-7101 Fax: 319-363-1993 | |
Deven Voelker, DO Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 1026 A Ave Ne, Cedar Rapids, IA 52402 Phone: 319-368-5970 Fax: 319-368-5973 | |
Harinder Singh, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 202 10th St Se, Cedar Rapids, IA 52403 Phone: 319-398-1546 | |
Hisham Wagdy, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 202 10th St Se, Suite 225, Cedar Rapids, IA 52403 Phone: 319-364-7101 Fax: 319-363-1993 |