| Dr Brent Gray Woodbury, MD | |
|
5409 Avenue O, Fort Madison, IA 52627-9601 | |
| (319) 376-2134 | |
| (319) 376-2188 |
| Full Name | Dr Brent Gray Woodbury |
|---|---|
| Gender | Male |
| Speciality | Orthopedic Surgery |
| Experience | 20 Years |
| Location | 5409 Avenue O, Fort Madison, 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 |
|---|---|---|---|
| 1558412130 | NPI | - | NPPES |
| 1558412130 | Medicaid | IA | |
| 1558412130 | Other | IA | WELLMARK BLUE CROSS BLUE SHIELD |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207X00000X | Orthopaedic Surgery | 94-06593 (Kansas) | Secondary |
| 207X00000X | Orthopaedic Surgery | 39649 (Iowa) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Great River Medical Center | West burlington, IA | Hospital |
| Henry County Health Center | Mount pleasant, IA | Hospital |
| University Of Iowa Hospital & Clinics | Iowa city, IA | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Southeast Iowa Regional Medical Center Inc | 3870496417 | 281 |
| Henry County Health Center Inc | 9638570740 | 59 |
| Entity Name | Southeast Iowa Regional Medical Center Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1164433884 PECOS PAC ID: 3870496417 Enrollment ID: O20040130000139 |
| Entity Name | Henry County Health Center Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1871177477 PECOS PAC ID: 9638570740 Enrollment ID: O20210701003616 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Brent Gray Woodbury, MD 5409 Avenue O, Fort Madison, IA 52627-9601 Ph: (319) 376-2134 | Dr Brent Gray Woodbury, MD 5409 Avenue O, Fort Madison, IA 52627-9601 Ph: (319) 376-2134 |
Mark Stewart Calkins, MD Orthopedic Surgery Medicare: Not Enrolled in Medicare Practice Location: 5409 Avenue O, Fort Madison, IA 52627 Phone: 319-376-2134 Fax: 319-376-2188 |