| Garrett James Feddersen, DO | |
|
1525 W 5th St, Storm Lake, IA 50588 | |
| (712) 213-8676 | |
| Not Available |
| Full Name | Garrett James Feddersen |
|---|---|
| Gender | Male |
| Speciality | Family Medicine |
| Location | 1525 W 5th St, Storm 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 |
|---|---|---|---|
| 1659711349 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | DO-04574 (Iowa) | Primary |
| Entity Name | Buena Vista Regional Medical Center |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1780755728 PECOS PAC ID: 3476464421 Enrollment ID: O20040109001054 |
| Entity Name | Iowa Emergency Physicians Llp |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1386879427 PECOS PAC ID: 5991856064 Enrollment ID: O20090701000057 |
| Mailing Address | Practice Location Address |
|---|---|
| Garrett James Feddersen, DO 1525 West 5th St Po Box 309, Storm Lake, IA 50588 Ph: (712) 213-8676 | Garrett James Feddersen, DO 1525 W 5th St, Storm Lake, IA 50588 Ph: (712) 213-8676 |
Kenneth Thomas Chapman, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 620 Northwestern Dr, Storm Lake, IA 50588 Phone: 712-732-5030 | |
Joan M Nilles, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 2015 W 5th St, Storm Lake, IA 50588 Phone: 712-732-6650 | |
Dr. Lisa A Shepherd, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 2015 W 5th St, Storm Lake, IA 50588 Phone: 712-732-5030 | |
Bruce J Vanderkooi, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 620 Northwestern Dr, Storm Lake, IA 50588 Phone: 712-732-5030 | |
David Crippin, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 620 Northwestern Dr, Storm Lake, IA 50588 Phone: 712-732-5030 | |
John Howard Pymm, D.O. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 620 Northwestern Dr # 1, Storm Lake, IA 50588 Phone: 712-732-5030 | |
Dr. Michael A Dehner, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 715 W Milwaukee Ave, Storm Lake, IA 50588 Phone: 712-213-0109 Fax: 712-213-0186 |