| Iowa Behavioral Associates, Llc | |
|
1701 48th St Ste 260 West Des Moines IA 50266-6726 | |
| (515) 401-4774 | |
| (515) 254-3092 |
| Full Name | Iowa Behavioral Associates, Llc |
|---|---|
| Speciality | Nurse Anesthetist, Certified Registered |
| Location | 1701 48th St Ste 260, West Des Moines, Iowa |
| Authorized Official Name and Position | Samantha Cooper (REVENUE CYCLE CODING DIRECTOR) |
| Authorized Official Contact | 5153486054 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Iowa Behavioral Associates, Llc 1701 48th St Ste 260 West Des Moines IA 50266-6726 Ph: (515) 401-4774 | Iowa Behavioral Associates, Llc 1701 48th St Ste 260 West Des Moines IA 50266-6726 Ph: (515) 401-4774 |
| NPI Number | 1801631692 |
|---|---|
| Provider Enumeration Date | 06/25/2024 |
| Last Update Date | 09/04/2024 |
| Certification Date | 09/04/2024 |
| Medicare PECOS PAC ID | 2466980321 |
|---|---|
| Medicare Enrollment ID | O20250107000765 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1801631692 | NPI | - | NPPES |
| Provider Name | Mindy K Gingery |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1124026042 PECOS PAC ID: 9931188042 Enrollment ID: I20040714000275 |
| Provider Name | Lacey R Cheeseman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1851831499 PECOS PAC ID: 6608151196 Enrollment ID: I20170324000447 |
| Provider Name | Alyssa Coughennower |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1346960978 PECOS PAC ID: 5092191205 Enrollment ID: I20220926001148 |
| Provider Name | Molly Anne St Clair |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1306611421 PECOS PAC ID: 9931552403 Enrollment ID: I20240131003396 |
| Provider Name | Courtney Mitten |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1194542282 PECOS PAC ID: 2062948326 Enrollment ID: I20241210001658 |
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