| Hannah Thompson, MD | |
|
501 12th Ave Ste 101, Coralville, IA 52241-1774 | |
| (319) 337-3177 | |
| (319) 341-0024 |
| Full Name | Hannah Thompson |
|---|---|
| Gender | Female |
| Speciality | Dermatology |
| Location | 501 12th Ave Ste 101, Coralville, Iowa |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1861060220 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207N00000X | Dermatology | R-12371 (Iowa) | Secondary |
| 207R00000X | Internal Medicine | R-12137 (Iowa) | Secondary |
| 207N00000X | Dermatology | MD-53500 (Iowa) | Primary |
| Entity Name | Epiphany Dermatology Of Iowa Plc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1104451749 PECOS PAC ID: 7618307034 Enrollment ID: O20200424001980 |
| Mailing Address | Practice Location Address |
|---|---|
| Hannah Thompson, MD 501 12th Ave Ste 101, Coralville, IA 52241-1774 Ph: (319) 337-3177 | Hannah Thompson, MD 501 12th Ave Ste 101, Coralville, IA 52241-1774 Ph: (319) 337-3177 |
Hobart W Walling, M.D. Dermatology Medicare: Accepting Medicare Assignments Practice Location: 1100 6th St, Suite 202, Coralville, IA 52241 Phone: 319-337-4566 Fax: 319-337-4766 | |
Susan C Puhl, M.D. Dermatology Medicare: Not Enrolled in Medicare Practice Location: 501 12th Ave, Suite 101, Coralville, IA 52241 Phone: 319-337-3177 Fax: 319-341-0024 | |
Dr. Paula A. Giudici, M.D. Dermatology Medicare: Accepting Medicare Assignments Practice Location: 105 E 9th St, Coralville, IA 52241 Phone: 319-467-2000 Fax: 319-467-2410 | |
Hillary Danielle Johnson-jahangir, MD Dermatology Medicare: Accepting Medicare Assignments Practice Location: 2769 Heartland Dr Ste 303, Coralville, IA 52241 Phone: 319-500-8051 Fax: 319-500-8052 | |
Thomas Charles Boysen, M.D. Dermatology Medicare: Accepting Medicare Assignments Practice Location: 501 12th Ave, Suite 101, Coralville, IA 52241 Phone: 319-337-3177 Fax: 319-341-0024 | |
David Paul Boysen, M.D. Dermatology Medicare: Accepting Medicare Assignments Practice Location: 501 12th Ave, Suite 101, Coralville, IA 52241 Phone: 319-337-3177 Fax: 319-341-0024 |