| David E Kragenbrink, MD | |
|
1500 Delhi St, Suite 3500, Dubuque, IA 52001-6321 | |
| (563) 557-5911 | |
| (563) 557-5910 |
| Full Name | David E Kragenbrink |
|---|---|
| Gender | Male |
| Speciality | Pediatrics |
| Location | 1500 Delhi St, Dubuque, Iowa |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1154316800 | NPI | - | NPPES |
| 16783 | Other | IA | WELLMARK BCBS |
| 3116665 | Medicaid | IA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208000000X | Pediatrics | 30061 (Iowa) | Primary |
| 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 |
| Mailing Address | Practice Location Address |
|---|---|
| David E Kragenbrink, MD 1500 Delhi St, Suite 3500, Dubuque, IA 52001-6321 Ph: (563) 557-5911 | David E Kragenbrink, MD 1500 Delhi St, Suite 3500, Dubuque, IA 52001-6321 Ph: (563) 557-5911 |
Mitchell Lee Edwards, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 1500 Associates Dr, Dubuque, IA 52002 Phone: 563-584-3000 | |
Ankura Kadakia, DO Pediatrics Medicare: Medicare Enrolled Practice Location: 1500 Delhi St Ste 3500, Dubuque, IA 52001 Phone: 563-557-3900 | |
Heather-lynn Menezes, DO Pediatrics Medicare: Medicare Enrolled Practice Location: 1000 Langworthy St, Dubuque, IA 52001 Phone: 563-584-3440 Fax: 563-584-3009 | |
Shiny Susan Kunjummen, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 1500 Delhi St Ste 3500, Dubuque, IA 52001 Phone: 563-557-5911 | |
Donald Harvey Reyerson, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 1500 Associates Dr, Dubuque, IA 52002 Phone: 563-584-4440 Fax: 563-584-4295 | |
Susan Light Roewe, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 1690 Elm St Ste 300, Dubuque, IA 52001 Phone: 563-690-2850 Fax: 563-557-8488 |