| Truston Bodine, MD, PHD | |
|
411 Laurel St Ste C100, Des Moines, IA 50314-3026 | |
| (515) 643-8780 | |
| (515) 643-8962 |
| Full Name | Truston Bodine |
|---|---|
| Gender | Male |
| Speciality | Radiology - Radiation Oncology |
| Location | 411 Laurel St Ste C100, 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 |
|---|---|---|---|
| 1740787845 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2085R0001X | Radiology - Radiation Oncology | MD-51471 (Iowa) | Primary |
| 390200000X | Student In An Organized Health Care Education/training Program | (* (Not Available)) | Secondary |
| Entity Name | Mercy Clinics Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1457691941 PECOS PAC ID: 7911810882 Enrollment ID: O20031112000238 |
| Entity Name | Greater Regional Medical Center |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1902805062 PECOS PAC ID: 9234041013 Enrollment ID: O20040205000926 |
| Mailing Address | Practice Location Address |
|---|---|
| Truston Bodine, MD, PHD Po Box 1475, Des Moines, IA 50305-1475 Ph: (515) 643-8780 | Truston Bodine, MD, PHD 411 Laurel St Ste C100, Des Moines, IA 50314-3026 Ph: (515) 643-8780 |
Dr. Mitchell R. Erickson, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 1111 6th Ave, Des Moines, IA 50314 Phone: 515-643-2667 Fax: 515-643-2978 | |
Austin Peters, Radiology Medicare: Accepting Medicare Assignments Practice Location: 1200 Pleasant St, Des Moines, IA 50309 Phone: 155-460-7766 | |
Dr. Christopher J Ellerbroek, M.D. Radiology Medicare: Not Enrolled in Medicare Practice Location: 1221 Pleasant St, Ste 150, Des Moines, IA 50309 Phone: 515-244-5109 Fax: 515-241-3505 | |
Dr. Mark Christopher Johnson, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 1111 6th Ave, Des Moines, IA 50314 Phone: 515-643-2667 | |
Christian Kingeter, MD Radiology Medicare: Not Enrolled in Medicare Practice Location: 1801 Hickman Rd, Des Moines, IA 50314 Phone: 515-282-8551 | |
Dr. Jon Stacy Hade, M.D. Radiology Medicare: Not Enrolled in Medicare Practice Location: 1221 Pleasant St, Ste 150, Des Moines, IA 50309 Phone: 515-244-5109 Fax: 515-875-9672 | |
Jessica Hui, MD Radiology Medicare: Medicare Enrolled Practice Location: 1801 Hickman Rd, Des Moines, IA 50314 Phone: 515-282-5640 Fax: 515-282-2332 |