| Dr Matthew Randal Humpal, MD | |
|
501 1st Ave, South Sioux City, NE 68776-1703 | |
| (402) 494-3064 | |
| (712) 294-7299 |
| Full Name | Dr Matthew Randal Humpal |
|---|---|
| Gender | Male |
| Speciality | Family Practice |
| Experience | 13 Years |
| Location | 501 1st Ave, South Sioux City, Nebraska |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1609135375 | NPI | - | NPPES |
| 47068731712 | Medicaid | NE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | MD-42604 (Iowa) | Primary |
| 390200000X | Student In An Organized Health Care Education/training Program | (* (Not Available)) | Secondary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Mercyone Siouxland | Sioux city, IA | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Sioux City Hospitalist Group, Llc | 3173906088 | 17 |
| Entity Name | Iowa Physicians Clinic Medical Foundation |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1366425274 PECOS PAC ID: 8729992318 Enrollment ID: O20031118000363 |
| Entity Name | Siouxland Hospitalists Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1831598614 PECOS PAC ID: 8123343803 Enrollment ID: O20150223000318 |
| Entity Name | Sioux City Hospitalist Group, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1427789148 PECOS PAC ID: 3173906088 Enrollment ID: O20220810000609 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Matthew Randal Humpal, MD 621 S Illinois Ave, Suite 103, Mason City, IA 50401-5489 Ph: (641) 428-3041 | Dr Matthew Randal Humpal, MD 501 1st Ave, South Sioux City, NE 68776-1703 Ph: (402) 494-3064 |
Mr. Thomas Gerald Morgan, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 3410 Futures Dr, South Sioux City, NE 68776 Phone: 712-252-2477 Fax: 712-252-5920 | |
Dr. Michael Brenner, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 3250 Plaza Dr, South Sioux City, NE 68776 Phone: 402-412-4220 Fax: 402-412-4222 | |
Michael L Hattan, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 3250 Plaza Dr, South Sioux City, NE 68776 Phone: 402-412-4220 Fax: 712-494-1365 | |
Kevin J Folchert, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 3250 Plaza Dr, South Sioux City, NE 68776 Phone: 402-412-4220 Fax: 402-494-1365 | |
David J Ensz, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 501 1st Ave, South Sioux City, NE 68776 Phone: 402-494-3064 | |
Austin T Granatowicz, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 3250 Plaza Dr, South Sioux City, NE 68776 Phone: 402-412-4220 Fax: 402-494-1365 | |
Suhair Afana Najdawi, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 501 1st Ave, South Sioux City, NE 68776 Phone: 402-494-3064 Fax: 712-294-7299 |