| Dr Timothy James Blair, MD | |
|
701 Broad Street, Suite 2, Keosauqua, IA 52565 | |
| (319) 293-7771 | |
| (866) 894-9687 |
| Full Name | Dr Timothy James Blair |
|---|---|
| Gender | Male |
| Speciality | Family Medicine |
| Location | 701 Broad Street, Keosauqua, Iowa |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1093743114 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 27840 (Iowa) | Primary |
| Entity Name | Van Buren County Hospital |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1316063076 PECOS PAC ID: 7214829530 Enrollment ID: O20040329001814 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Timothy James Blair, MD 701 Broad Street, Suite 2 P.o. Box 7, Keosauqua, IA 52565 Ph: (319) 293-7771 | Dr Timothy James Blair, MD 701 Broad Street, Suite 2, Keosauqua, IA 52565 Ph: (319) 293-7771 |
Dr. Richard Dale Breckenridge, D.O. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 304 Franklin St, Keosauqua, IA 52565 Phone: 319-293-3171 Fax: 319-293-3473 | |
Dr. Matthew Arthur Manning, D.O. Family Medicine Medicare: Medicare Enrolled Practice Location: 304 Franklin St, Keosauqua, IA 52565 Phone: 319-293-3171 Fax: 319-293-3473 | |
Dr. Rebecca Bollin, DO Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 304 Franklin St, Keosauqua, IA 52565 Phone: 319-293-3171 Fax: 319-293-3473 |