| Stephen M Ellestad, DO | |
|
502 Mound St, Decorah, IA 52101-1508 | |
| (563) 382-0118 | |
| Not Available |
| Full Name | Stephen M Ellestad |
|---|---|
| Gender | Male |
| Speciality | Emergency Medicine |
| Location | 502 Mound St, Decorah, Iowa |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1124009634 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207P00000X | Emergency Medicine | 02380 (Iowa) | Primary |
| Entity Name | Pocahontas Community Hospital |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1609989581 PECOS PAC ID: 7012820012 Enrollment ID: O20031106000417 |
| Entity Name | Knoxville Community Hospital Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1770591661 PECOS PAC ID: 6608787056 Enrollment ID: O20031119000804 |
| 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 |
| Entity Name | Jefferson County Hospital |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1881294536 PECOS PAC ID: 9335059575 Enrollment ID: O20031223000606 |
| Entity Name | Hancock County Health System |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1689721318 PECOS PAC ID: 9739080425 Enrollment ID: O20040115001023 |
| Entity Name | Grinnell Regional Medical Center |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1437663242 PECOS PAC ID: 0446153662 Enrollment ID: O20040127001219 |
| Entity Name | Alegent Health - Mercy Hospital Corning, Iowa |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1821134826 PECOS PAC ID: 0547154940 Enrollment ID: O20040209000263 |
| Entity Name | Lucas County Health Center |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1588636351 PECOS PAC ID: 8921916792 Enrollment ID: O20040317001356 |
| Entity Name | Davis County Hospital |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1487740486 PECOS PAC ID: 3971493040 Enrollment ID: O20040319001367 |
| Entity Name | Pocahontas Community Hospital |
|---|---|
| Entity Type | Part A Provider - Critical Access Hospital |
| Entity Identifiers | NPI Number: 1346241213 PECOS PAC ID: 7012820012 Enrollment ID: O20061104000292 |
| Entity Name | Alegent Health - Mercy Hospital Corning, Iowa |
|---|---|
| Entity Type | Part A Provider - Critical Access Hospital |
| Entity Identifiers | NPI Number: 1699856260 PECOS PAC ID: 0547154940 Enrollment ID: O20110607000624 |
| Mailing Address | Practice Location Address |
|---|---|
| Stephen M Ellestad, DO 502 Mound St, Decorah, IA 52101-1508 Ph: (563) 382-0118 | Stephen M Ellestad, DO 502 Mound St, Decorah, IA 52101-1508 Ph: (563) 382-0118 |
Dr. Christopher R Cooper, D.O. Emergency Medicine Medicare: Medicare Enrolled Practice Location: 901 Montgomery St, Decorah, IA 52101 Phone: 563-382-2911 Fax: 563-382-4143 | |
Dr. Sandy Kay Clayton, M.D. Emergency Medicine Medicare: Medicare Enrolled Practice Location: 901 Montgomery St., Medical Staff Services, Decorah, IA 52101 Phone: 563-382-2911 Fax: 563-382-4143 | |
Gregory Madsen, PA-C Emergency Medicine Medicare: Medicare Enrolled Practice Location: 901 Montgomery St, Decorah, IA 52101 Phone: 563-382-2911 |