| Dr Chester Penn De Jong, MD | |
|
803 S Greene St, Rock Rapids, IA 51246-1948 | |
| (712) 472-3716 | |
| (712) 472-2878 |
| Full Name | Dr Chester Penn De Jong |
|---|---|
| Gender | Male |
| Speciality | Family Practice |
| Experience | 37 Years |
| Location | 803 S Greene St, Rock Rapids, 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 |
|---|---|---|---|
| 1952484909 | NPI | - | NPPES |
| 0638700 | Medicaid | IA | |
| 4075648 | Medicaid | IA | |
| 0250498 | Medicaid | IA | |
| 1075648 | Medicaid | IA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 28191 (Iowa) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Sanford Home Health And Hospice Sheldon | Sheldon, IA | Home health agency |
| Avera At Home | Estherville, IA | Hospice |
| Care Initiatives Hospice - Sioux City | Sioux city, IA | Hospice |
| Sanford Usd Medical Center | Sioux falls, SD | Hospital |
| Avera Merrill Pioneer Hospital | Rock rapids, IA | Hospital |
| Sanford Sheldon Medical Center | Sheldon, IA | Hospital |
| Good Samaritan Society - George | George, IA | Nursing home |
| Lyon Specialty Care | Rock rapids, IA | Nursing home |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Sanford Medical Center | 8325950215 | 750 |
| Entity Name | Sanford Clinic |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1255353934 PECOS PAC ID: 0244143824 Enrollment ID: O20040216001158 |
| Entity Name | Sanford Medical Center |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1093090342 PECOS PAC ID: 8325950215 Enrollment ID: O20200527001874 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Chester Penn De Jong, MD Po Box 5074, Sioux Falls, SD 57117-5074 Ph: (605) 328-6585 | Dr Chester Penn De Jong, MD 803 S Greene St, Rock Rapids, IA 51246-1948 Ph: (712) 472-3716 |
Dr. Sriranjani Kasinathan, M.D. Family Medicine Medicare: Medicare Enrolled Practice Location: 803 S Greene St, Rock Rapids, IA 51246 Phone: 712-472-3716 Fax: 712-472-2878 | |
Dr. David James Springer, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 803 S Greene St, Rock Rapids, IA 51246 Phone: 712-472-3716 Fax: 712-472-2878 | |
Mrs. Kellie Goedken Den Hartog, PA-C Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1100 S 10th Ave, Rock Rapids, IA 51246 Phone: 712-472-5399 |