Evangeline De Sagun, MD | |
1221 S Gear Ave, West Burlington, IA 52655-1679 | |
(319) 768-1000 | |
Not Available |
Full Name | Evangeline De Sagun |
---|---|
Gender | Female |
Speciality | Pathology |
Experience | 37 Years |
Location | 1221 S Gear Ave, West Burlington, Iowa |
Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1356446322 | NPI | - | NPPES |
32913278 | Other | CHAMPUS | |
P00047449 | Other | RAILROAD MEDICARE | |
009847 | Other | HEALTH ALLIANCE | |
1922250 | Other | IL | BCBS IL |
036097387 | Medicaid | IL |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207ZP0102X | Pathology - Anatomic Pathology & Clinical Pathology | 036097387 (Illinois) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Great River Medical Center | West burlington, IA | Hospital |
Henry County Health Center | Mount pleasant, IA | Hospital |
University Of Iowa Hospital & Clinics | Iowa city, IA | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Henry County Health Center Inc | 9638570740 | 20 |
Southeast Iowa Regional Medical Center Inc | 3870496417 | 189 |
Entity Name | Southeast Iowa Regional Medical Center Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1164433884 PECOS PAC ID: 3870496417 Enrollment ID: O20040130000139 |
Entity Name | Fort Madison Community Hospital |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1083764393 PECOS PAC ID: 8729971841 Enrollment ID: O20040203001066 |
Entity Name | Henry County Health Center Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1871177477 PECOS PAC ID: 9638570740 Enrollment ID: O20210701003616 |
Mailing Address | Practice Location Address |
---|---|
Evangeline De Sagun, MD 1221 S Gear Ave, West Burlington, IA 52655-1679 Ph: () - | Evangeline De Sagun, MD 1221 S Gear Ave, West Burlington, IA 52655-1679 Ph: (319) 768-1000 |
Jonathan W Snow, M.D. Pathology Medicare: Not Enrolled in Medicare Practice Location: 1221 S Gear Ave, West Burlington, IA 52655 Phone: 319-768-1000 Fax: 319-233-0722 |