| Paul Edward Dudley, MD | |
|
1614 Diamond Street Pl, Onawa, IA 51040-1554 | |
| (712) 423-1525 | |
| (712) 423-2528 |
| Full Name | Paul Edward Dudley |
|---|---|
| Gender | Male |
| Speciality | Family Practice |
| Experience | 35 Years |
| Location | 1614 Diamond Street Pl, Onawa, 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 |
|---|---|---|---|
| 1194721332 | NPI | - | NPPES |
| 080057253 | Other | IA | RAILROAD MEDICARE |
| 0100842 | Medicaid | IA | |
| 12602 | Other | IA | BLUE SHIELD OF IOWA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 29427 (Iowa) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Burgess Home Health | Onawa, IA | Home health agency |
| St Croix Hospice | Co bluffs, IA | Hospice |
| Burgess Hospice | Onawa, IA | Hospice |
| Burgess Health Center | Onawa, IA | Hospital |
| St Lukes Regional Medical Center | Sioux city, IA | Hospital |
| Pleasant View Care Center | Whiting, IA | Nursing home |
| Elmwood Care Centre | Onawa, IA | Nursing home |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Burgess Health Center | 0143131516 | 10 |
| Family Medicine Clinic, P.c. | 0547159824 | 5 |
| Entity Name | Burgess Health Center |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1538234232 PECOS PAC ID: 0143131516 Enrollment ID: O20031219000549 |
| Entity Name | Family Medicine Clinic, P.c. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1386824787 PECOS PAC ID: 0547159824 Enrollment ID: O20040313000752 |
| Mailing Address | Practice Location Address |
|---|---|
| Paul Edward Dudley, MD 1614 Diamond Street Pl, Onawa, IA 51040-1554 Ph: (712) 423-1525 | Paul Edward Dudley, MD 1614 Diamond Street Pl, Onawa, IA 51040-1554 Ph: (712) 423-1525 |
Ashraf Adel Samy Gerges, M.D. Family Medicine Medicare: Medicare Enrolled Practice Location: 1600 Diamond St, Onawa, IA 51040 Phone: 712-423-2311 Fax: 712-423-3500 | |
Kathryn Moore, ARNP Family Medicine Medicare: Medicare Enrolled Practice Location: 1614 Diamond Street Pl, Onawa, IA 51040 Phone: 712-423-1525 Fax: 712-423-2528 | |
Tracy L Kahl, D. O. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1614 Diamond Street Pl, Onawa, IA 51040 Phone: 712-423-1525 Fax: 712-423-2528 | |
Brandon L Kovar, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1614 Diamond Street Pl, Onawa, IA 51040 Phone: 712-423-1525 Fax: 712-423-2528 | |
Dr. Shannon Renee Kennedy, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1614 Diamond Street Pl, Onawa, IA 51040 Phone: 712-423-1525 Fax: 712-423-2528 | |
Dr. Peter M. Daher, M.D. Family Medicine Medicare: Medicare Enrolled Practice Location: Burgess Health Center, 1600 Diamond Ave, Onawa, IA 51040 Phone: 712-423-2311 |