| Dr Gregory Vincent Stanislav, MD | |
| 
					933 E Pierce St Ste 206, Council Bluffs, IA 51503-4626  | |
| (712) 396-7460 | |
| (712) 396-7465 | 
| Full Name | Dr Gregory Vincent Stanislav | 
|---|---|
| Gender | Male | 
| Speciality | Surgery | 
| Location | 933 E Pierce St Ste 206, 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 | 
|---|---|---|---|
| 1144375221 | NPI | - | NPPES | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 208600000X | Surgery | 17498 (Nebraska) | Secondary | 
| 208600000X | Surgery | 29675 (Iowa) | Primary | 
| Entity Name | Healogics Specialty Physicians Of Iowa Llc | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1184041113 PECOS PAC ID: 6608157086 Enrollment ID: O20161222000872  | 
| Mailing Address | Practice Location Address | 
|---|---|
| Dr Gregory Vincent Stanislav, MD 933 E Pierce St Ste 206, Council Bluffs, IA 51503-4626 Ph: (712) 396-7460  | Dr Gregory Vincent Stanislav, MD 933 E Pierce St Ste 206, Council Bluffs, IA 51503-4626 Ph: (712) 396-7460  | 
Dr. Robert M Cunningham, MB CHB MPH FACS Surgery Medicare: May Accept Medicare Assignments Practice Location: 201 Ridge St Ste 214, Council Bluffs, IA 51503 Phone: 712-396-4320 Fax: 712-396-4328  | |
Ardith A Ryberg, MD Surgery Medicare: Not Enrolled in Medicare Practice Location: 801 Harmony St, Suite 408, Council Bluffs, IA 51503 Phone: 712-256-6160 Fax: 402-895-5060  | |
Dr. Patrick Ahrens, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 201 Ridge St, Suite 214, Council Bluffs, IA 51503 Phone: 712-396-4320 Fax: 712-396-4328  | |
David Mortensen, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 800 Mercy Dr Ste 220, Council Bluffs, IA 51503 Phone: 712-388-2660  | |
Mrs. Stacey Elizabeth Burmeister,  Surgery Medicare: Accepting Medicare Assignments Practice Location: 201 Ridge St, Suite 206, Council Bluffs, IA 51503 Phone: 712-396-7460 Fax: 712-396-7465  | |
Dr. Michael Zlomke, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 201 Ridge St, Suite 214, Council Bluffs, IA 51503 Phone: 712-396-4320 Fax: 712-396-4328  |