| Tate Allen Lage, DO | |
|
401 S 15th St, Clear Lake, IA 50428-2303 | |
| (641) 357-7442 | |
| (641) 357-3070 |
| Full Name | Tate Allen Lage |
|---|---|
| Gender | Male |
| Speciality | Pediatrics |
| Location | 401 S 15th St, Clear Lake, Iowa |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1770849333 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208000000X | Pediatrics | DO-04690 (Iowa) | Primary |
| Entity Name | North Iowa Mercy Clinics |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1780278242 PECOS PAC ID: 7810809076 Enrollment ID: O20031105000273 |
| Mailing Address | Practice Location Address |
|---|---|
| Tate Allen Lage, DO 401 S 15th St, Clear Lake, IA 50428-2303 Ph: (641) 357-7442 | Tate Allen Lage, DO 401 S 15th St, Clear Lake, IA 50428-2303 Ph: (641) 357-7442 |
Dr. Anjali S. Henry, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 401 S 15th St, Clear Lake, IA 50428 Phone: 641-357-7442 Fax: 641-357-3070 | |
Kristin Avery, DO Pediatrics Medicare: Medicare Enrolled Practice Location: 401 S 15th St, Clear Lake, IA 50428 Phone: 641-357-7442 Fax: 641-357-3070 | |
Norma C Mcguire, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 401 S 15th St, Clear Lake, IA 50428 Phone: 641-357-7442 Fax: 641-357-3070 | |
Dr. Suresh K Rajagopal, MD Pediatrics Medicare: Accepting Medicare Assignments Practice Location: 418 N Shore Dr, Clear Lake, IA 50428 Phone: 641-357-7442 |