| Dr Bradley B Waller, MD | |
|
206 N Arcade St, Maquoketa, IA 52060-2022 | |
| (563) 652-6711 | |
| (563) 652-6715 |
| Full Name | Dr Bradley B Waller |
|---|---|
| Gender | Male |
| Speciality | Family Practice |
| Experience | 6 Years |
| Location | 206 N Arcade St, Maquoketa, 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 |
|---|---|---|---|
| 1609433796 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 47781 (Iowa) | Secondary |
| 207Q00000X | Family Medicine | R-11492 (Iowa) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Angels Care Home Health Of Iowa | Davenport, IA | Home health agency |
| Hospice Of Jackson County | Maquoketa, IA | Hospice |
| Jackson County Regional Health Center | Maquoketa, IA | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Maquoketa Family Clinic | 1951291095 | 4 |
| Entity Name | Broadlawns Medical Center |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1467447508 PECOS PAC ID: 3678466166 Enrollment ID: O20040206000913 |
| Entity Name | Maquoketa Family Clinic |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1407845175 PECOS PAC ID: 1951291095 Enrollment ID: O20040319001180 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Bradley B Waller, MD 206 N Arcade St, Maquoketa, IA 52060-2022 Ph: (563) 652-6711 | Dr Bradley B Waller, MD 206 N Arcade St, Maquoketa, IA 52060-2022 Ph: (563) 652-6711 |
Katherine E Ruff, DNP, ARNP, FNP-BC Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 918 W Platt St, Maquoketa, IA 52060 Phone: 563-652-5145 | |
Dr. Jill M Hunt, M.D. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 918 W Platt St # 1, Maquoketa, IA 52060 Phone: 563-652-5145 Fax: 563-652-3674 | |
Mr. Eric Scott Petersen, D.O. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 918 W Platt St # 1, Maquoketa, IA 52060 Phone: 563-652-5145 Fax: 563-652-3674 | |
Katherine L Hurst, M.D. Family Medicine Medicare: Medicare Enrolled Practice Location: 700 W Grove St, Maquoketa, IA 52060 Phone: 563-652-2474 | |
Brandon Beau Rickertsen, D.O. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 918 W Platt St # 1, Maquoketa, IA 52060 Phone: 563-652-5145 Fax: 563-652-3674 | |
Mr. Jerald W Bybee, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 206 North Arcade, Maquoketa, IA 52060 Phone: 563-652-6711 Fax: 563-652-6715 |