| Renee R Ellerbroek, MD | |
|
4637 121st St, Urbandale, IA 50323-2311 | |
| (515) 655-7080 | |
| (515) 655-7090 |
| Full Name | Renee R Ellerbroek |
|---|---|
| Gender | Female |
| Speciality | Pathology - Anatomic Pathology & Clinical Pathology |
| Location | 4637 121st St, Urbandale, Iowa |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1962510099 | NPI | - | NPPES |
| 1041525 | Medicaid | IA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207ZP0102X | Pathology - Anatomic Pathology & Clinical Pathology | 24490 (Iowa) | Primary |
| Entity Name | Iowa Digestive Disease Center Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1275571747 PECOS PAC ID: 4183522188 Enrollment ID: O20031229000890 |
| Entity Name | Regional Laboratory Consultants Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1891805958 PECOS PAC ID: 6901709062 Enrollment ID: O20040128000391 |
| 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 | Goldfinch Laboratory Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1477277119 PECOS PAC ID: 8123497211 Enrollment ID: O20221212002898 |
| Mailing Address | Practice Location Address |
|---|---|
| Renee R Ellerbroek, MD 4637 121st St, Urbandale, IA 50323-2311 Ph: (515) 655-7080 | Renee R Ellerbroek, MD 4637 121st St, Urbandale, IA 50323-2311 Ph: (515) 655-7080 |
Jared J Abbott, M.D. Pathology Medicare: Accepting Medicare Assignments Practice Location: 4637 121st St, Urbandale, IA 50323 Phone: 515-655-7080 Fax: 515-655-7090 | |
Caitlin Brianne Halverson, M.D. Pathology Medicare: Accepting Medicare Assignments Practice Location: 4637 121st St, Urbandale, IA 50323 Phone: 515-655-7080 Fax: 515-655-7090 | |
Gregory Alan Schmunk, M.D. Pathology Medicare: Not Enrolled in Medicare Practice Location: 2903 160th St, Urbandale, IA 50323 Phone: 515-710-2852 |