| Dr Evan Hirsch, MD | |
|
1001 Pennsylvania Ave, Ottumwa, IA 52501-6427 | |
| (641) 684-2300 | |
| Not Available |
| Full Name | Dr Evan Hirsch |
|---|---|
| Gender | Male |
| Speciality | Family Practice |
| Experience | 30 Years |
| Location | 1001 Pennsylvania Ave, Ottumwa, Iowa |
| 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 |
|---|---|---|---|
| 1679513733 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207P00000X | Emergency Medicine | A61540 (California) | Secondary |
| 207P00000X | Emergency Medicine | MD-49359 (Iowa) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Emergency Medicine Services Of Mo Llc | 1951766559 | 72 |
| Entity Name | Southeast Missouri Hospital Physicians Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1558311522 PECOS PAC ID: 9133024334 Enrollment ID: O20031201000775 |
| Entity Name | Emergency Medicine Services Of Mo Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1023715182 PECOS PAC ID: 1951766559 Enrollment ID: O20230710001430 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Evan Hirsch, MD 3711 W. 230th St. #211, Torrance, CA 90505 Ph: (626) 354-4671 | Dr Evan Hirsch, MD 1001 Pennsylvania Ave, Ottumwa, IA 52501-6427 Ph: (641) 684-2300 |
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. Randall Craig Dieleman, DO Emergency Medicine Medicare: Medicare Enrolled Practice Location: 1001 Pennsylvania Ave, Ottumwa, IA 52501 Phone: 641-684-3173 | |
Dr. Douglas Lyssy, MD/MBA Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 1001 Pennsylvania Ave, Ottumwa, IA 52501 Phone: 641-984-2341 |