| Kelli Elizabeth Woltemath, DO | |
|
1219 Main St, Hamburg, IA 51640-1300 | |
| (712) 382-2626 | |
| (712) 382-1931 |
| Full Name | Kelli Elizabeth Woltemath |
|---|---|
| Gender | Female |
| Speciality | General Practice |
| Experience | 37 Years |
| Location | 1219 Main St, Hamburg, Iowa |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1285606731 | NPI | - | NPPES |
| 0062356 | Medicaid | IA | |
| 29447 | Other | IA | WELLMARK BC/BS OF IA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 02407 (Iowa) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| George C Grape Community Hospital | Hamburg, IA | Hospital |
| The Ambassador Sidney Inc | Sidney, IA | Nursing home |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Medical Clinic Llc | 5395634216 | 8 |
| Entity Name | Community Hospital Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1124112677 PECOS PAC ID: 6103860564 Enrollment ID: O20050616000187 |
| Entity Name | Community Hospital Inc |
|---|---|
| Entity Type | Part A Provider - Critical Access Hospital |
| Entity Identifiers | NPI Number: 1932294071 PECOS PAC ID: 6103860564 Enrollment ID: O20061104000696 |
| Entity Name | Medical Clinic Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1124218706 PECOS PAC ID: 5395634216 Enrollment ID: O20071003000602 |
| Mailing Address | Practice Location Address |
|---|---|
| Kelli Elizabeth Woltemath, DO 1219 Main St, Hamburg, IA 51640-1300 Ph: (712) 382-2626 | Kelli Elizabeth Woltemath, DO 1219 Main St, Hamburg, IA 51640-1300 Ph: (712) 382-2626 |
Thomas Homer Largen, M.D. Family Medicine Medicare: Medicare Enrolled Practice Location: 1219 Main St, Hamburg, IA 51640 Phone: 712-382-2626 Fax: 712-382-1931 | |
Michael Ourada, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1219 Main St, Hamburg, IA 51640 Phone: 712-382-2626 Fax: 712-382-1931 |