| Dr Daniel J Larose, MD | |
|
1 Edmundson Place, Suite 500, Council Bluffs, IA 51503-4619 | |
| (712) 323-5333 | |
| (712) 323-3252 |
| Full Name | Dr Daniel J Larose |
|---|---|
| Gender | Male |
| Speciality | Orthopaedic Surgery |
| Location | 1 Edmundson Place, Council Bluffs, Iowa |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1730187410 | NPI | - | NPPES |
| 200015383 | Other | IA | RAILROAD MEDICARE |
| 26287 | Other | IA | WELLMARK |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207X00000X | Orthopaedic Surgery | 26497 (Iowa) | Primary |
| 207X00000X | Orthopaedic Surgery | 19436 (Nebraska) | Secondary |
| Entity Name | Miller Orthopaedic Affiliates Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1659379519 PECOS PAC ID: 4385533769 Enrollment ID: O20041122000880 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Daniel J Larose, MD 1 Edmundson Place, Suite 500, Council Bluffs, IA 51503-4619 Ph: (712) 323-5333 | Dr Daniel J Larose, MD 1 Edmundson Place, Suite 500, Council Bluffs, IA 51503-4619 Ph: (712) 323-5333 |
Blake Michael Bodendorfer, M.D. Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 1 Edmundson Pl Ste 500, Council Bluffs, IA 51503 Phone: 712-323-5333 | |
Dr. Clifford Kent Boese, M.D. Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 1 Edmundson Pl, Ste 500, Council Bluffs, IA 51503 Phone: 712-323-5333 Fax: 712-323-3252 | |
Dr. James K Mantone, MD Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 808 E Pierce St, Council Bluffs, IA 51503 Phone: 402-390-4111 Fax: 402-390-4115 | |
Dr. Roy Abraham, M.D. Orthopedic Surgery Medicare: Not Enrolled in Medicare Practice Location: 1 Edmundson Pl, Ste 500, Council Bluffs, IA 51503 Phone: 712-323-5333 Fax: 712-323-3252 | |
Dr. Thomas Marvin Atteberry, M.D. Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 1 Edmundson Pl, Ste 500, Council Bluffs, IA 51503 Phone: 712-323-5333 Fax: 712-323-3252 | |
Dr. Craig L Hansen, M.D. Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 1260 Valley View Dr, Council Bluffs, IA 51503 Phone: 402-609-3000 Fax: 402-609-3808 | |
Dr. Huy Dinh Trinh, M.D. Orthopedic Surgery Medicare: Not Enrolled in Medicare Practice Location: 1 Edmundson Pl, Ste 500, Council Bluffs, IA 51503 Phone: 712-323-5333 Fax: 712-323-3252 |