Marissa Michel, MD | |
1500 Delhi St Ste 3500, Dubuque, IA 52001 | |
(563) 557-3900 | |
Not Available |
Full Name | Marissa Michel |
---|---|
Gender | Female |
Speciality | Pediatrics |
Location | 1500 Delhi St Ste 3500, Dubuque, Iowa |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1356720882 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208000000X | Pediatrics | R-10220 (Iowa) | Secondary |
208000000X | Pediatrics | MD-45068 (Iowa) | Primary |
Entity Name | Dubuque Internal Medicine Pc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1568427524 PECOS PAC ID: 7810805058 Enrollment ID: O20040316000501 |
Mailing Address | Practice Location Address |
---|---|
Marissa Michel, MD 1500 Delhi St Ste 3500, Dubuque, IA 52001-6321 Ph: (563) 557-3900 | Marissa Michel, MD 1500 Delhi St Ste 3500, Dubuque, IA 52001 Ph: (563) 557-3900 |
Mitchell Lee Edwards, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 1500 Associates Dr, Dubuque, IA 52002 Phone: 563-584-3000 | |
David E Kragenbrink, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 1500 Delhi St, Suite 3500, Dubuque, IA 52001 Phone: 563-557-5911 Fax: 563-557-5910 | |
Ankura Kadakia, DO Pediatrics Medicare: Medicare Enrolled Practice Location: 1500 Delhi St Ste 3500, Dubuque, IA 52001 Phone: 563-557-3900 | |
Heather-lynn Menezes, DO Pediatrics Medicare: Medicare Enrolled Practice Location: 1000 Langworthy St, Dubuque, IA 52001 Phone: 563-584-3440 Fax: 563-584-3009 | |
Shiny Susan Kunjummen, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 1500 Delhi St Ste 3500, Dubuque, IA 52001 Phone: 563-557-5911 | |
Donald Harvey Reyerson, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 1500 Associates Dr, Dubuque, IA 52002 Phone: 563-584-4440 Fax: 563-584-4295 |