| Jedd A Hagen, MD | |
|
311 S Clark St, Carroll, IA 51401-3038 | |
| (712) 792-8257 | |
| (712) 792-8234 |
| Full Name | Jedd A Hagen |
|---|---|
| Gender | Male |
| Speciality | Pathology |
| Experience | 35 Years |
| Location | 311 S Clark St, Carroll, 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 |
|---|---|---|---|
| 1831206234 | NPI | - | NPPES |
| 0119636 | Medicaid | IA | |
| 50190 | Other | IA | BCBS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207ZM0300X | Pathology - Medical Microbiology | 30259 (Iowa) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| The Nebraska Medical Center | Omaha, NE | Hospital |
| Audubon County Memorial Hospital | Audubon, IA | Hospital |
| Entity Name | St Anthony Regional Hospital And Nursing Home |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1801815972 PECOS PAC ID: 4688586829 Enrollment ID: O20031105000218 |
| Entity Name | Pocahontas Community Hospital |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1609989581 PECOS PAC ID: 7012820012 Enrollment ID: O20031106000417 |
| Entity Name | Audubon County Memorial Hospital |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1730153420 PECOS PAC ID: 7618866096 Enrollment ID: O20040312001260 |
| Entity Name | Pocahontas Community Hospital |
|---|---|
| Entity Type | Part A Provider - Critical Access Hospital |
| Entity Identifiers | NPI Number: 1346241213 PECOS PAC ID: 7012820012 Enrollment ID: O20061104000292 |
| Entity Name | Loring Hospital |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1003965336 PECOS PAC ID: 1052379625 Enrollment ID: O20080313000229 |
| Entity Name | St Anthony Regional Hospital And Nursing Home |
|---|---|
| Entity Type | Part A Provider - Critical Access Hospital |
| Entity Identifiers | NPI Number: 1720067127 PECOS PAC ID: 4688586829 Enrollment ID: O20231212001754 |
| Mailing Address | Practice Location Address |
|---|---|
| Jedd A Hagen, MD 311 S Clark St, Carroll, IA 51401-3038 Ph: (712) 794-5257 | Jedd A Hagen, MD 311 S Clark St, Carroll, IA 51401-3038 Ph: (712) 792-8257 |