| Lorraine Marie Tangen, MD | |
|
Amg -estherville 926 N 8th St, Estherville, IA 51334 | |
| (712) 362-6501 | |
| (712) 362-7190 |
| Full Name | Lorraine Marie Tangen |
|---|---|
| Gender | Female |
| Speciality | Family Medicine |
| Location | Amg -estherville 926 N 8th St, Estherville, Iowa |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1568506988 | NPI | - | NPPES |
| 000010002487 | Other | ID | BLUE SHIELD OF IDAHO |
| DP070 | Other | ID | BLUE CROSS OF IDAHO |
| 003978700 | Medicaid | ID | |
| 820227163G0020 | Other | ID | TRICARE |
| 1129286 | Other | ID | STATE INSURANCE FUND |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | MD-50220 (Iowa) | Primary |
| Entity Name | Avera Holy Family |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1124056338 PECOS PAC ID: 7113837428 Enrollment ID: O20040205000405 |
| Entity Name | Avera Holy Family |
|---|---|
| Entity Type | Part A Provider - Critical Access Hospital |
| Entity Identifiers | NPI Number: 1508810177 PECOS PAC ID: 7113837428 Enrollment ID: O20061104000150 |
| Mailing Address | Practice Location Address |
|---|---|
| Lorraine Marie Tangen, MD Amg -estherville 926 N 8th St, Estherville, IA 51334 Ph: (712) 362-6501 | Lorraine Marie Tangen, MD Amg -estherville 926 N 8th St, Estherville, IA 51334 Ph: (712) 362-6501 |
Dr. Anthony Ferillo Cook, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 926 N 8th St, Estherville, IA 51334 Phone: 712-362-6501 | |
Dr. Keith L. Probst, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 926 N 8th St, Estherville, IA 51334 Phone: 712-362-6501 Fax: 712-362-7190 | |
Dr. James C. Creech, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 926 N 8th St, Estherville, IA 51334 Phone: 712-362-5650 Fax: 712-362-7190 | |
Dr. Randy C. Asman, M.D. Family Medicine Medicare: Medicare Enrolled Practice Location: 926 N 8th St, Estherville, IA 51334 Phone: 712-362-6501 Fax: 712-362-7190 | |
Dr. Madhan Prabhakaran, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 926 N 8th St, Estherville, IA 51334 Phone: 712-362-6501 | |
Dr. Douglas V. Stangl, M.D. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 926 N 8th St, Estherville, IA 51334 Phone: 712-362-6501 Fax: 712-362-7190 |