| Tara Nissa Andersen, DO | |
|
1111 6th Ave # Main3, Des Moines, IA 50314-2610 | |
| (515) 246-9320 | |
| (515) 643-8966 |
| Full Name | Tara Nissa Andersen |
|---|---|
| Gender | Female |
| Speciality | Hospitalist |
| Location | 1111 6th Ave # Main3, Des Moines, Iowa |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1881734499 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208000000X | Pediatrics | 2006018054 (Missouri) | Secondary |
| 208000000X | Pediatrics | 3863 (Iowa) | Secondary |
| 208M00000X | Hospitalist | DO-03863 (Iowa) | Primary |
| Entity Name | Mercy Clinics Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1487670923 PECOS PAC ID: 7911810882 Enrollment ID: O20031112000238 |
| Mailing Address | Practice Location Address |
|---|---|
| Tara Nissa Andersen, DO Po Box 1475, Des Moines, IA 50305-1475 Ph: (515) 246-9320 | Tara Nissa Andersen, DO 1111 6th Ave # Main3, Des Moines, IA 50314-2610 Ph: (515) 246-9320 |
Gabryele Pochron, DO Hospitalist Medicare: Medicare Enrolled Practice Location: 1215 Pleasant St Ste 400, Des Moines, IA 50309 Phone: 515-241-4019 |
Dr. Yi Jie Hammonds, MD Hospitalist Medicare: Accepting Medicare Assignments Practice Location: 1415 Woodland Ave Ste 140, Des Moines, IA 50309 Phone: 515-241-5995 |
Grant Wentworth Goss, Hospitalist Medicare: Medicare Enrolled Practice Location: 1200 Pleasant St, Des Moines, IA 50309 Phone: 515-241-6212 |
Miranda Ann Huebner, DO Hospitalist Medicare: May Accept Medicare Assignments Practice Location: 1415 Woodland Ave Ste 140, Des Moines, IA 50309 Phone: 515-241-6636 |
Bradley Joseph Halverson, D.O. Hospitalist Medicare: Accepting Medicare Assignments Practice Location: 1200 Pleasant St, Des Moines, IA 50309 Phone: 515-241-4019 |
Dr. Ellesavette Kokkinos, DO Hospitalist Medicare: May Accept Medicare Assignments Practice Location: 1415 Woodland Ave Ste 140, Des Moines, IA 50309 Phone: 515-241-6636 |
Cecilia Annika Molloy, DO Hospitalist Medicare: Accepting Medicare Assignments Practice Location: 1215 Pleasant St Ste 400, Des Moines, IA 50309 Phone: 515-241-4019 |