| Dr Deborah R Nielsendejong, MD | |
| 
					1229 C Ave E, Oskaloosa, IA 52577-4246  | |
| (641) 672-3100 | |
| (641) 672-3111 | 
| Full Name | Dr Deborah R Nielsendejong | 
|---|---|
| Gender | Female | 
| Speciality | Emergency Medicine - Emergency Medical Services | 
| Location | 1229 C Ave E, Oskaloosa, Iowa | 
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1740269976 | NPI | - | NPPES | 
| 6110353 | Medicaid | IA | |
| 09642 | Other | IA | IA BLUE SHIELD PROVIDER N | 
| P00114109 | Other | IA | RR MEDICARE PROVIDER NUMB | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 207Q00000X | Family Medicine | 28765 (Iowa) | Secondary | 
| 207PE0004X | Emergency Medicine - Emergency Medical Services | 28765 (Iowa) | Primary | 
| Entity Name | Mahaska County Hospital | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1407869852 PECOS PAC ID: 2769388677 Enrollment ID: O20041202000965  | 
| Entity Name | Mahaska County Hospital | 
|---|---|
| Entity Type | Part A Provider - Critical Access Hospital | 
| Entity Identifiers | NPI Number: 1356320659 PECOS PAC ID: 2769388677 Enrollment ID: O20061104000235  | 
| Entity Name | Emergency Services Of Iowa Llc | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1477017663 PECOS PAC ID: 1557600756 Enrollment ID: O20190306001336  | 
| 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 Deborah R Nielsendejong, MD 1229 C Ave E, Oskaloosa, IA 52577-4246 Ph: (641) 672-3100  | Dr Deborah R Nielsendejong, MD 1229 C Ave E, Oskaloosa, IA 52577-4246 Ph: (641) 672-3100  | 
Dr. Matthew G Whitis, MD Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 1229 C Ave E, Oskaloosa, IA 52577 Phone: 641-672-3100 Fax: 641-672-3111  | |
Trinh T.h. Le, M.D. Emergency Medicine Medicare: Medicare Enrolled Practice Location: 1229 C Ave E, Oskaloosa, IA 52577 Phone: 641-672-3394 Fax: 641-672-3336  | |
Susan Elizabeth Harte, D.O. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 1229 C Ave E, Oskaloosa, IA 52577 Phone: 641-672-3100 Fax: 641-673-7377  | |
Dr. Kymberly J Life, DO Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 1229 C Ave E, Oskaloosa, IA 52577 Phone: 641-672-3100 Fax: 641-672-3111  | |
Dr. Andrew M Frost, DO Emergency Medicine Medicare: Medicare Enrolled Practice Location: 1229 C Ave E, Oskaloosa, IA 52577 Phone: 641-672-3100 Fax: 641-672-3111  |