| John Ireland Halloran, MD | |
|
1825 Logan Ave, Waterloo, IA 50703-1916 | |
| (319) 235-3716 | |
| (319) 233-1630 |
| Full Name | John Ireland Halloran |
|---|---|
| Gender | Male |
| Speciality | Diagnostic Radiology |
| Experience | 35 Years |
| Location | 1825 Logan Ave, Waterloo, 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 |
|---|---|---|---|
| 1821044587 | NPI | - | NPPES |
| 1158113 | Medicaid | IA | |
| 24523 | Other | IA | WELLMARK INS PLAN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2085R0202X | Radiology - Diagnostic Radiology | 28954 (Iowa) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| King's Daughters' Medical Center | Ashland, KY | Hospital |
| Christus Mother Frances Hospital | Tyler, TX | Hospital |
| Cox Medical Centers | Springfield, MO | Hospital |
| Mercy Hospital Oklahoma City, Inc | Oklahoma city, OK | Hospital |
| Tuba City Regional Health Care Corporation | Tuba city, AZ | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Virtual Radiologic Professionals Llc | 4981608817 | 394 |
| Fred Smeltzer Md And Associates Inc | 8921078304 | 78 |
| Entity Name | Allen Memorial Hospital Corporation |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1891772927 PECOS PAC ID: 4284546045 Enrollment ID: O20031211000480 |
| Entity Name | Virtual Radiologic Professionals Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1932342029 PECOS PAC ID: 4981608817 Enrollment ID: O20070807000603 |
| Entity Name | Fred Smeltzer Md & Associates Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1639122286 PECOS PAC ID: 8921078304 Enrollment ID: O20130218000406 |
| Mailing Address | Practice Location Address |
|---|---|
| John Ireland Halloran, MD 1825 Logan Ave, Radiology Department, Waterloo, IA 50703-1916 Ph: (319) 235-3716 | John Ireland Halloran, MD 1825 Logan Ave, Waterloo, IA 50703-1916 Ph: (319) 235-3716 |
James Vincent Connell Jr., M.D. Radiology Medicare: Not Enrolled in Medicare Practice Location: 1825 Logan Ave, Waterloo, IA 50703 Phone: 319-235-3716 Fax: 319-233-1630 | |
Vandana Jain, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 200 E Ridgeway Ave, Waterloo, IA 50702 Phone: 319-272-2800 Fax: 319-272-2807 | |
Greg Evan Raecker, DO Radiology Medicare: Medicare Enrolled Practice Location: 1731 W Ridgeway Ave, Ste 101, Waterloo, IA 50701 Phone: 319-833-6001 Fax: 319-833-6003 | |
Cassandra S Foens, M.D. Radiology Medicare: Not Enrolled in Medicare Practice Location: 200 E Ridgeway Ave, Waterloo, IA 50702 Phone: 319-272-2800 Fax: 319-272-2807 | |
Lawrence Arthur Liebscher, MD Radiology Medicare: Not Enrolled in Medicare Practice Location: 1731 W Ridgeway Ave, Ste 101, Waterloo, IA 50701 Phone: 319-833-6001 Fax: 319-833-6003 | |
Wayne Leroy Ventling Ii, DO Radiology Medicare: Medicare Enrolled Practice Location: 4150 Kimball Avenue, Waterloo, IA 50701 Phone: 219-235-5390 Fax: 319-233-1630 | |
Stephen Dale Frazier, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 1825 Logan Ave, Waterloo, IA 50703 Phone: 319-235-3716 Fax: 319-233-1630 |