| Mirnes Kadic, DO | |
|
825 Ne Gateway Dr Ste 148, Grimes, IA 50111-1307 | |
| (515) 875-9607 | |
| (515) 875-9608 |
| Full Name | Mirnes Kadic |
|---|---|
| Gender | Male |
| Speciality | Family Medicine |
| Location | 825 Ne Gateway Dr Ste 148, Grimes, Iowa |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1700345766 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | DO-06013 (Iowa) | Primary |
| 204D00000X | Neuromusculoskeletal Medicine & Omm | DO-06013 (Iowa) | Secondary |
| Entity Name | Mercy Clinics Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1457691941 PECOS PAC ID: 7911810882 Enrollment ID: O20031112000238 |
| Mailing Address | Practice Location Address |
|---|---|
| Mirnes Kadic, DO Po Box 424, Des Moines, IA 50302-0424 Ph: (515) 875-9255 | Mirnes Kadic, DO 825 Ne Gateway Dr Ste 148, Grimes, IA 50111-1307 Ph: (515) 875-9607 |
Dennis L Bussey, DO Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 101 Se Destination Drive, Grimes, IA 50111 Phone: 515-986-4524 Fax: 515-986-4531 | |
Dr. Brad Michael Willenbring, D.O. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 825 Ne Gateway Dr Ste 148, Grimes, IA 50111 Phone: 515-875-9607 Fax: 515-875-9608 | |
Hyo Young Seo Smith, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 101 Se Destination Dr, Grimes, IA 50111 Phone: 515-986-4524 | |
Jennifer Linn Gerrietts, D.O. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 250 Sw Brookside Dr, Grimes, IA 50111 Phone: 515-300-3900 Fax: 515-300-3901 | |
Tiffany Ketcham, DO Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 825 Ne Gateway Dr Ste 148, Grimes, IA 50111 Phone: 515-875-9607 Fax: 515-875-9608 | |
Kurt J Klise, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 250 Sw Brookside Dr, Grimes, IA 50111 Phone: 515-300-3900 Fax: 515-300-3901 |