| Ryan J Thoreson, DO | |
|
405 Monroe St, Pella, IA 50219-1189 | |
| (641) 628-3832 | |
| (641) 628-8894 |
| Full Name | Ryan J Thoreson |
|---|---|
| Gender | Male |
| Speciality | Emergency Medicine |
| Location | 405 Monroe St, Pella, Iowa |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1720090327 | NPI | - | NPPES |
| 35014 | Other | IA | WELLMARK |
| 0739201 | Medicaid | IA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207P00000X | Emergency Medicine | 3379 (Iowa) | Primary |
| Entity Name | Pella Regional Health Center |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1053369405 PECOS PAC ID: 9931005873 Enrollment ID: O20031210000914 |
| Mailing Address | Practice Location Address |
|---|---|
| Ryan J Thoreson, DO 405 Monroe St, Pella, IA 50219-1189 Ph: (641) 628-3832 | Ryan J Thoreson, DO 405 Monroe St, Pella, IA 50219-1189 Ph: (641) 628-3832 |
Dr. John Dee Cambron, DO Emergency Medicine Medicare: Medicare Enrolled Practice Location: 405 Monroe St, Pella, IA 50219 Phone: 641-628-6649 Fax: 641-628-6699 | |
Matthew A. Gritters, M.D. Emergency Medicine Medicare: Medicare Enrolled Practice Location: 405 Monroe St, Pella, IA 50219 Phone: 641-628-3832 Fax: 641-628-8894 | |
Dr. Michael Vincent Thompson, DO Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 405 Monroe St, Pella, IA 50219 Phone: 641-628-6772 Fax: 641-621-2326 |