| Mark A Tannenbaum, MD | |
|
5880 University Ave Ste. 102, West Des Moines, IA 50266-8220 | |
| (515) 633-3600 | |
| (515) 288-0840 |
| Full Name | Mark A Tannenbaum |
|---|---|
| Gender | Male |
| Speciality | Cardiovascular Disease (cardiology) |
| Experience | 43 Years |
| Location | 5880 University Ave Ste. 102, West Des Moines, 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 |
|---|---|---|---|
| 1033191861 | NPI | - | NPPES |
| 0057034 | Medicaid | IA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RC0000X | Internal Medicine - Cardiovascular Disease | 27144 (Iowa) | Secondary |
| 207RI0011X | Internal Medicine - Interventional Cardiology | 27144 (Iowa) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Mercyone Des Moines Medical Center | Des moines, IA | Hospital |
| Ottumwa Regional Health Center | Ottumwa, IA | Hospital |
| Grinnell Regional Medical Center | Grinnell, IA | Hospital |
| Monroe County Hospital | Albia, IA | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Ottumwa Health Group Llc | 3971629924 | 23 |
| Catholic Health Initiatives-iowa Corp | 5698683142 | 100 |
| Entity Name | North Iowa Mercy Clinics |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1780278242 PECOS PAC ID: 7810809076 Enrollment ID: O20031105000273 |
| Entity Name | Covenant Medical Center Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1548288160 PECOS PAC ID: 0244148732 Enrollment ID: O20031111000534 |
| Entity Name | Mercy Medical Services |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1134161151 PECOS PAC ID: 5799694063 Enrollment ID: O20031118000075 |
| Entity Name | Catholic Health Initiatives-iowa Corp |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1629301684 PECOS PAC ID: 5698683142 Enrollment ID: O20031118000163 |
| Entity Name | Hamilton County Public Hospital |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1497957351 PECOS PAC ID: 1254241565 Enrollment ID: O20031216000775 |
| Entity Name | Broadlawns Medical Center |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1467447508 PECOS PAC ID: 3678466166 Enrollment ID: O20040206000913 |
| Entity Name | Hamilton County Public Hospital |
|---|---|
| Entity Type | Part A Provider - Critical Access Hospital |
| Entity Identifiers | NPI Number: 1295702397 PECOS PAC ID: 1254241565 Enrollment ID: O20061104000151 |
| Entity Name | Ottumwa Health Group Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1386956290 PECOS PAC ID: 3971629924 Enrollment ID: O20100927001257 |
| Mailing Address | Practice Location Address |
|---|---|
| Mark A Tannenbaum, MD Po Box 9170, Des Moines, IA 50306-9170 Ph: (515) 633-3600 | Mark A Tannenbaum, MD 5880 University Ave Ste. 102, West Des Moines, IA 50266-8220 Ph: (515) 633-3600 |
Kevin James Cunningham, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 5950 University Ave, Ste 151, West Des Moines, IA 50266 Phone: 515-875-9192 Fax: 515-875-9193 | |
Terri L Bunting, A.R.N.P Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 555 S 51st St, West Des Moines, IA 50265 Phone: 515-440-0304 Fax: 515-440-4623 | |
Jeffrey D Stahl, MD Internal Medicine Medicare: Medicare Enrolled Practice Location: 1300 37th St, Ste 5, West Des Moines, IA 50266 Phone: 515-225-4051 Fax: 515-225-2265 | |
Richard H Marcus, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 5880 University Ave Ste 102, West Des Moines, IA 50266 Phone: 515-633-3600 Fax: 515-288-0840 | |
Angela Knoblauch, DO Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 6010 Mills Civic Pkwy Ste 100, West Des Moines, IA 50266 Phone: 515-221-7800 Fax: 515-221-7801 | |
Magdi G.h. Ghali, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 5880 University Ave Ste. 102, West Des Moines, IA 50266 Phone: 515-633-3600 Fax: 515-288-0840 |