| Peter J Reynen, MD | |
|
1201 W Agency Rd, West Burlington, IA 52655-1645 | |
| (319) 754-4242 | |
| Not Available |
| Full Name | Peter J Reynen |
|---|---|
| Gender | Male |
| Speciality | Family Medicine |
| Location | 1201 W Agency Rd, West Burlington, Iowa |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1962467282 | NPI | - | NPPES |
| 1962467282 | Medicaid | IA | |
| 5610134 | Medicaid | SD | |
| 121322900 | Medicaid | MN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 4244 (South Dakota) | Secondary |
| 207Q00000X | Family Medicine | 40277 (Iowa) | Primary |
| Entity Name | Avera Mckennan |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1699009944 PECOS PAC ID: 0345157103 Enrollment ID: O20031110000117 |
| Mailing Address | Practice Location Address |
|---|---|
| Peter J Reynen, MD 1201 W Agency Rd, West Burlington, IA 52655-1645 Ph: (319) 754-4242 | Peter J Reynen, MD 1201 W Agency Rd, West Burlington, IA 52655-1645 Ph: (319) 754-4242 |
Dr. Dennis George Miller I, D.O. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 1706 W Agency Rd, West Burlington, IA 52655 Phone: 319-768-5858 Fax: 319-753-2301 | |
David W Carlson, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1201 W Agency Rd, West Burlington, IA 52655 Phone: 319-754-4242 Fax: 319-754-4079 | |
Michael K Abouassaly, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1201 W Agency Rd, West Burlington, IA 52655 Phone: 319-754-4242 Fax: 319-754-4079 | |
William S Daft, M.D. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 1201 W Agency Rd, West Burlington, IA 52655 Phone: 319-754-4242 Fax: 319-754-4079 | |
Dr. Anjali Katiyar Sobti, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1201 W Agency Rd, West Burlington, IA 52655 Phone: 319-754-4242 | |
Sandra L. Worrell, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1225 S Gear Ave Ste 159, West Burlington, IA 52655 Phone: 319-768-1570 | |
Thomas C Boyd, D.O. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 1201 W Agency Rd, West Burlington, IA 52655 Phone: 319-754-4242 Fax: 319-754-4709 |