| Dr Douglas Jae Miedema, DO | |
|
600 9th Ave N, Sibley, IA 51249-1012 | |
| (712) 754-3658 | |
| (712) 754-2634 |
| Full Name | Dr Douglas Jae Miedema |
|---|---|
| Gender | Male |
| Speciality | Family Medicine |
| Location | 600 9th Ave N, Sibley, Iowa |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1720080237 | NPI | - | NPPES |
| 537072800 | Medicaid | MN | |
| 2049429 | Medicaid | IA | |
| 167177 | Other | IA | HOME HEALTH MEDICARE |
| 115478 | Other | MN | UCARE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 2364 (Iowa) | Primary |
| Entity Name | Sanford Health Network |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1699869875 PECOS PAC ID: 6800707100 Enrollment ID: O20040715001116 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Douglas Jae Miedema, DO 600 9th Ave N, P.o. Box 277, Sibley, IA 51249-1012 Ph: (712) 754-3658 | Dr Douglas Jae Miedema, DO 600 9th Ave N, Sibley, IA 51249-1012 Ph: (712) 754-3658 |
Garrett Sterk, DO Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 600 9th Ave N, Sibley, IA 51249 Phone: 712-754-3658 | |
Christian F Sessa, D.O. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 600 9th Ave N, Sibley, IA 51249 Phone: 712-754-3658 Fax: 712-754-2634 | |
Gregory Jay Kosters, D.O. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 600 9th Ave N, Sibley, IA 51249 Phone: 712-754-3658 Fax: 712-754-2634 | |
Rachel R Wilcinot, DO Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 600 9th Ave N, Sibley, IA 51249 Phone: 712-754-3658 Fax: 712-754-2634 |