| Jeffrey M Maire, DO | |
|
515 Pacific Ave, Audubon, IA 50025-1056 | |
| (712) 563-5304 | |
| (712) 563-5275 |
| Full Name | Jeffrey M Maire |
|---|---|
| Gender | Male |
| Speciality | General Surgery |
| Experience | 29 Years |
| Location | 515 Pacific Ave, Audubon, 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 |
|---|---|---|---|
| 1366557167 | NPI | - | NPPES |
| 0453886 | Medicaid | IA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208600000X | Surgery | 3603 (Iowa) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Audubon County Memorial Hospital | Audubon, IA | Hospital |
| Boone County Hospital | Boone, IA | Hospital |
| St Anthony Regional Hospital & Nursing Home | Carroll, IA | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Boone County Comprehensive Specialty Care | 8022012293 | 4 |
| Audubon County Memorial Hospital | 7618866096 | 15 |
| 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 | Boone County Comprehensive Specialty Care |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1316982200 PECOS PAC ID: 8022012293 Enrollment ID: O20060830000218 |
| Entity Name | Boone County Hospital |
|---|---|
| Entity Type | Part A Provider - Critical Access Hospital |
| Entity Identifiers | NPI Number: 1467434225 PECOS PAC ID: 7416840335 Enrollment ID: O20061104000517 |
| Entity Name | Audubon County Memorial Hospital |
|---|---|
| Entity Type | Part A Provider - Critical Access Hospital |
| Entity Identifiers | NPI Number: 1710951686 PECOS PAC ID: 7618866096 Enrollment ID: O20070227000334 |
| Mailing Address | Practice Location Address |
|---|---|
| Jeffrey M Maire, DO 515 Pacific Ave, Audubon, IA 50025-1056 Ph: (712) 563-2611 | Jeffrey M Maire, DO 515 Pacific Ave, Audubon, IA 50025-1056 Ph: (712) 563-5304 |