| Dr Suzanne N Kersbergen, DO | |
| 
					1410 6th Ave So, Clear Lake, IA 50428-2606  | |
| (641) 357-2191 | |
| (641) 357-6020 | 
| Full Name | Dr Suzanne N Kersbergen | 
|---|---|
| Gender | Female | 
| Speciality | Family Medicine | 
| Location | 1410 6th Ave So, Clear Lake, Iowa | 
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1770710980 | NPI | - | NPPES | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 207Q00000X | Family Medicine | OS14053 (Florida) | Secondary | 
| 207Q00000X | Family Medicine | 4277 (Iowa) | Secondary | 
| 207Q00000X | Family Medicine | 04277 (Iowa) | Primary | 
| Entity Name | North Iowa Mercy Clinics | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1780278242 PECOS PAC ID: 7810809076 Enrollment ID: O20031105000273  | 
| Mailing Address | Practice Location Address | 
|---|---|
| Dr Suzanne N Kersbergen, DO 621 S Illinois Ave Ste 103, Mason City, IA 50401-5489 Ph: (641) 428-3041  | Dr Suzanne N Kersbergen, DO 1410 6th Ave So, Clear Lake, IA 50428-2606 Ph: (641) 357-2191  | 
Mckenzie Brekken, DO Family Medicine Medicare: Medicare Enrolled Practice Location: 1410 6th Ave S, Clear Lake, IA 50428 Phone: 641-357-2191 Fax: 641-357-6020  | |
John Brady, DO Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1801 Us Highway 18 E, Clear Lake, IA 50428 Phone: 641-357-1999 Fax: 641-357-1997  | |
Brent E Brunsting, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1410 6th Ave S, Clear Lake, IA 50428 Phone: 641-357-2191 Fax: 641-357-6020  | |
Tracy M Mixdorf, DO Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1410 6th Ave S, Clear Lake, IA 50428 Phone: 641-437-2191 Fax: 641-657-6020  | |
Taylor May, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 1410 6th Ave S, Clear Lake, IA 50428 Phone: 641-357-2191  | |
Donald C Berge, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 1410 6th Ave S, Clear Lake, IA 50428 Phone: 641-357-2191 Fax: 641-357-6020  |