| Dr Randall Craig Dieleman, DO | |
|
1001 Pennsylvania Ave, Ottumwa, IA 52501-6427 | |
| (641) 684-3173 | |
| Not Available |
| Full Name | Dr Randall Craig Dieleman |
|---|---|
| Gender | Male |
| Speciality | Emergency Medicine |
| Location | 1001 Pennsylvania Ave, Ottumwa, Iowa |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1538709985 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207P00000X | Emergency Medicine | 02126 (Iowa) | Primary |
| Entity Name | Emergency Services Of Iowa Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1477017663 PECOS PAC ID: 1557600756 Enrollment ID: O20190306001336 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Randall Craig Dieleman, DO 1780 Fox Ridge Rd, Pella, IA 50219-7568 Ph: (641) 780-4737 | Dr Randall Craig Dieleman, DO 1001 Pennsylvania Ave, Ottumwa, IA 52501-6427 Ph: (641) 684-3173 |
Dr. Amy Kumagai, D.O. Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 1001 Pennsylvania Ave, Ottumwa, IA 52501 Phone: 641-684-2402 | |
Dr. Douglas Lyssy, MD/MBA Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 1001 Pennsylvania Ave, Ottumwa, IA 52501 Phone: 641-984-2341 | |
Dr. Evan Hirsch, M.D. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 1001 Pennsylvania Ave, Ottumwa, IA 52501 Phone: 641-684-2300 |