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 | 18 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 |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Southeast Iowa Regional Medical Center Inc | 3870496417 | 189 |
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 | Fort Madison Community Hospital |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1083764393 PECOS PAC ID: 8729971841 Enrollment ID: O20040203001066 |
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 |
Dr. Joseph Charles Darrow Jr., M.D. Orthopedic Surgery Medicare: Medicare Enrolled Practice Location: 5409 Avenue O, Fort Madison, IA 52627 Phone: 319-376-2134 Fax: 319-376-2188 | |
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 |