| Dr Kelly Scott Pomerenke, MD | |
|
240 N Rerick Ave, Primghar, IA 51245-7786 | |
| (712) 957-2310 | |
| Not Available |
| Full Name | Dr Kelly Scott Pomerenke |
|---|---|
| Gender | Male |
| Speciality | Family Medicine |
| Location | 240 N Rerick Ave, Primghar, Iowa |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1205826641 | NPI | - | NPPES |
| 1057729 | Medicaid | IA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 27695 (Iowa) | Primary |
| Entity Name | Mercy Medical Services |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1134161151 PECOS PAC ID: 5799694063 Enrollment ID: O20031118000075 |
| Entity Name | Sioux Center Health |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1669542981 PECOS PAC ID: 9032027495 Enrollment ID: O20040224001315 |
| Entity Name | Hawarden Regional Healthcare |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1841261104 PECOS PAC ID: 0547257990 Enrollment ID: O20040428000001 |
| Entity Name | Hawarden Regional Healthcare Clinics Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1750324612 PECOS PAC ID: 7517929532 Enrollment ID: O20050411000652 |
| Entity Name | Hawarden Regional Healthcare |
|---|---|
| Entity Type | Part A Provider - Critical Access Hospital |
| Entity Identifiers | NPI Number: 1841261104 PECOS PAC ID: 0547257990 Enrollment ID: O20081002000123 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Kelly Scott Pomerenke, MD 240 N Rerick Ave, Primghar, IA 51245-7786 Ph: (712) 957-2310 | Dr Kelly Scott Pomerenke, MD 240 N Rerick Ave, Primghar, IA 51245-7786 Ph: (712) 957-2310 |
Shailesh Dhirubhai Desai, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 240 North Rerick Ave, Primghar, IA 51245 Phone: 712-957-2310 Fax: 712-957-0504 |