| Dr Jessica A White, MD | |
|
1825 Logan Ave, Emergency Department, Waterloo, IA 50703-1916 | |
| (319) 235-3697 | |
| (319) 235-3844 |
| Full Name | Dr Jessica A White |
|---|---|
| Gender | Female |
| Speciality | Emergency Medicine |
| Location | 1825 Logan Ave, Waterloo, Iowa |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1689665622 | NPI | - | NPPES |
| 24195 | Other | IA | WELLMARK BC/BS IOWA |
| 4240127 | Medicaid | IA | |
| P00207392 | Other | IA | RAILROAD MEDICARE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207P00000X | Emergency Medicine | 33899 (Iowa) | Primary |
| Entity Name | Mercy Hospital Iowa City Iowa |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1124089347 PECOS PAC ID: 2062302748 Enrollment ID: O20040317000382 |
| Entity Name | Palmer Lutheran Health Center Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1891744108 PECOS PAC ID: 4284544255 Enrollment ID: O20040317001077 |
| Entity Name | Johnson County Emergency Medicine Plc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1316582729 PECOS PAC ID: 6901231810 Enrollment ID: O20200123001944 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Jessica A White, MD 1825 Logan Ave, Emergency Department, Waterloo, IA 50703-1916 Ph: (319) 235-3697 | Dr Jessica A White, MD 1825 Logan Ave, Emergency Department, Waterloo, IA 50703-1916 Ph: (319) 235-3697 |
Brian K Sankey, D.O. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 2710 Saint Francis Dr, Suite 210, Waterloo, IA 50702 Phone: 319-272-5000 Fax: 319-272-5728 | |
Dr. Robert Ansley Roof Iii, D.O. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 3421 West 9th St, Waterloo, IA 50702 Phone: 800-458-5003 | |
Dr. Kendall E. Kurt, M.D. Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 1825 Logan Ave, Emergency Department, Waterloo, IA 50703 Phone: 319-235-3697 Fax: 319-235-3655 | |
Dr. Edward D. Herold, D.O. Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 1825 Logan Ave, Emergency Department, Waterloo, IA 50703 Phone: 319-235-3697 Fax: 319-235-3844 | |
Dr. Robert K. Dekoster, M.D. Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 1825 Logan Ave, Emergency Department, Waterloo, IA 50703 Phone: 319-235-3697 Fax: 319-235-3844 | |
Dr. Stacey Marie Marlow Fisher, MD, JD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 1825 Logan Ave, Emergency Department, Allen Memorial Hospital, Waterloo, IA 50703 Phone: 319-235-3697 | |
Dr. Dorothy E. Lawse, M.D. Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 1825 Logan Ave, Emergency Department, Waterloo, IA 50703 Phone: 319-235-3697 Fax: 319-235-3844 |