| Rachelle L Gammon, DO | |
|
974 73rd St, Suite 30, Windsor Heights, IA 50312-1024 | |
| (515) 224-4993 | |
| (515) 224-1505 |
| Full Name | Rachelle L Gammon |
|---|---|
| Gender | Female |
| Speciality | Pediatrics |
| Location | 974 73rd St, Windsor Heights, Iowa |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1891990271 | NPI | - | NPPES |
| 1891990271 | Medicaid | IA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208000000X | Pediatrics | 3803 (Iowa) | Primary |
| Entity Name | Iowa Physicians Clinic Medical Foundation |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1366425274 PECOS PAC ID: 8729992318 Enrollment ID: O20031118000363 |
| Mailing Address | Practice Location Address |
|---|---|
| Rachelle L Gammon, DO 974 73rd St, Suite 30, Windsor Heights, IA 50312-1024 Ph: (515) 224-4993 | Rachelle L Gammon, DO 974 73rd St, Suite 30, Windsor Heights, IA 50312-1024 Ph: (515) 224-4993 |
Joel E Waymire, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 974 73rd St, Suite 30, Windsor Heights, IA 50312 Phone: 515-224-4993 Fax: 515-224-1505 | |
Sayeed B Hussain, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 974 73rd St, Suite 33, Windsor Heights, IA 50312 Phone: 515-223-4146 Fax: 515-223-1172 | |
Rhonda J Enserro, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 974 73rd St, Suite 30, Windsor Heights, IA 50312 Phone: 515-224-4993 Fax: 515-224-1505 | |
Shoab A Sayeed, DO Pediatrics Medicare: Medicare Enrolled Practice Location: 974 73rd St, Suite 33, Windsor Heights, IA 50312 Phone: 515-223-4146 Fax: 515-223-1172 |