| David J Hagedorn, DO | |
|
2101 Kimball Avenue, Suite 401, Waterloo, IA 50702 | |
| (319) 272-2002 | |
| (319) 272-2071 |
| Full Name | David J Hagedorn |
|---|---|
| Gender | Male |
| Speciality | Family Medicine |
| Location | 2101 Kimball Avenue, Waterloo, Iowa |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1922078369 | NPI | - | NPPES |
| 0725283 | Medicaid | IA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 03115 (Iowa) | Primary |
| Entity Name | Grundy County Memorial Hospital |
|---|---|
| Entity Type | Part A Provider - Critical Access Hospital |
| Entity Identifiers | NPI Number: 1821055989 PECOS PAC ID: 6406766435 Enrollment ID: O20061104000161 |
| Mailing Address | Practice Location Address |
|---|---|
| David J Hagedorn, DO P.o. Box 2880, Waterloo, IA 50704-2880 Ph: (319) 272-2002 | David J Hagedorn, DO 2101 Kimball Avenue, Suite 401, Waterloo, IA 50702 Ph: (319) 272-2002 |
Kurtis Alan Lucas, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 2055 Kimball Ave Ste 101, Waterloo, IA 50702 Phone: 319-272-2112 Fax: 319-272-2107 | |
Mark J Louviere, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 212 W Dale St, Waterloo, IA 50703 Phone: 319-235-3568 Fax: 319-235-5013 | |
Dr. Robert L Friedman, M.D. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 2055 Kimball Ave, Suite 101, Waterloo, IA 50702 Phone: 319-272-2112 Fax: 319-272-2107 | |
Manpreet Singh Gill, M.D. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 2055 Kimball Ave, Suite 101, Waterloo, IA 50702 Phone: 319-272-2112 Fax: 319-272-2107 | |
Sejla Cejvanovic, ARNP Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 905 Franklin St, Waterloo, IA 50703 Phone: 319-874-3000 | |
Emily Rose Pursley, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: Medical Arts Bldg., 2055 Kimball Ave. Suite 101, Waterloo, IA 50702 Phone: 319-272-2112 | |
Shamim S Khan, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 2055 Kimball Ave Ste 101, Waterloo, IA 50702 Phone: 319-272-2112 Fax: 319-272-2107 |