| Central Iowa Neurology, Pc | |
|
2600 Grand Ave Ste 102 Des Moines IA 50312-5300 | |
| (515) 255-7414 | |
| (515) 274-6916 |
| Full Name | Central Iowa Neurology, Pc |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 2600 Grand Ave Ste 102, Des Moines, Iowa |
| Authorized Official Name and Position | Irving L Wolfe (PRESIDENT) |
| Authorized Official Contact | 5152557414 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Central Iowa Neurology, Pc 1501 50th St Ste 110 West Des Moines IA 50266-5940 Ph: (515) 255-7414 | Central Iowa Neurology, Pc 2600 Grand Ave Ste 102 Des Moines IA 50312-5300 Ph: (515) 255-7414 |
| NPI Number | 1063545390 |
|---|---|
| Provider Enumeration Date | 03/14/2007 |
| Last Update Date | 02/19/2025 |
| Certification Date | 02/19/2025 |
| Medicare PECOS PAC ID | 9739171802 |
|---|---|
| Medicare Enrollment ID | O20040330001798 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1063545390 | NPI | - | NPPES |
| 130015512 | Other | IA | RR MEDICARE |
| 2258913 | Medicaid | IA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084N0400X | Psychiatry & Neurology - Neurology | 02257 (Iowa) | Primary |
| Provider Name | Irving L Wolfe |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1740250489 PECOS PAC ID: 8729070891 Enrollment ID: I20050608001205 |
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