| Matthew Wade Andres, DO | |
|
1111 6th Ave, Mercy Medical Center Pathology Department, Des Moines, IA 50314-2610 | |
| (515) 247-3115 | |
| (515) 643-8911 |
| Full Name | Matthew Wade Andres |
|---|---|
| Gender | Male |
| Speciality | Pathology |
| Experience | 24 Years |
| Location | 1111 6th Ave, 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 |
|---|---|---|---|
| 1891720678 | NPI | - | NPPES |
| APPLIED FOR | Medicaid | IA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207ZP0102X | Pathology - Anatomic Pathology & Clinical Pathology | 3678 (Iowa) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Broadlawns Medical Center | Des moines, IA | Hospital |
| Mercyone Des Moines Medical Center | Des moines, IA | Hospital |
| University Of Iowa Hospital & Clinics | Iowa city, IA | Hospital |
| Knoxville Hospital & Clinics | Knoxville, IA | Hospital |
| Mercyone Centerville Medical Center | Centerville, IA | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Broadlawns Medical Center | 3678466166 | 257 |
| Pathology Associates Of Central Iowa Plc | 6305887811 | 8 |
| 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 | Pathology Associates Of Central Iowa Plc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1639107295 PECOS PAC ID: 6305887811 Enrollment ID: O20050516000234 |
| Mailing Address | Practice Location Address |
|---|---|
| Matthew Wade Andres, DO 2231 Nw 108th St, Des Moines, IA 50325-3729 Ph: (515) 334-7524 | Matthew Wade Andres, DO 1111 6th Ave, Mercy Medical Center Pathology Department, Des Moines, IA 50314-2610 Ph: (515) 247-3115 |
Ramona Ann Thompson, MD Pathology Medicare: Accepting Medicare Assignments Practice Location: 1111 6th Ave, Des Moines, IA 50314 Phone: 515-643-8638 | |
Dr. Carolyn Su-ying Pease, M.D. Pathology Medicare: Accepting Medicare Assignments Practice Location: 1111 6th Avenue, Mercy Medical Center, Des Moines, IA 50314 Phone: 515-643-8533 Fax: 515-643-8911 | |
Dr. Lorie A. Montag, M.D. Pathology Medicare: Accepting Medicare Assignments Practice Location: 1212 Pleasant, Suite #ll3, Des Moines, IA 50309 Phone: 515-241-8861 Fax: 515-241-8855 | |
Timothy Floyd Drevyanko, MD Pathology Medicare: Not Enrolled in Medicare Practice Location: 1212 Pleasant, #ll3, Des Moines, IA 50309 Phone: 515-241-8866 Fax: 515-241-8855 | |
Jacob Edward Sramek, MD Pathology Medicare: Accepting Medicare Assignments Practice Location: 1212 Pleasant St, Suite Ll3, Des Moines, IA 50309 Phone: 515-241-8866 | |
Edward Fredric Loeb, MD Pathology Medicare: Not Enrolled in Medicare Practice Location: 1212 Pleasant, #ll3, Des Moines, IA 50309 Phone: 515-241-8866 Fax: 515-241-8855 | |
Richard Kent Scupham, MD Pathology Medicare: Not Enrolled in Medicare Practice Location: 1212 Pleasant, #ll3, Des Moines, IA 50309 Phone: 515-241-8866 Fax: 515-241-8855 |