| Meditelecare Of Iowa Pllc | |
|
400 E Court Ave Ste 110 Des Moines IA 50309-2027 | |
| (860) 788-6404 | |
| (860) 829-0495 |
| Full Name | Meditelecare Of Iowa Pllc |
|---|---|
| Speciality | Psychologist |
| Location | 400 E Court Ave Ste 110, Des Moines, Iowa |
| Authorized Official Name and Position | Andrea Godfrey (CREDENTIALING & ENROLLMENT MANAGER) |
| Authorized Official Contact | 8603986441 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Meditelecare Of Iowa Pllc Po Box 1595 Middletown CT 06457-8095 Ph: (860) 788-6404 | Meditelecare Of Iowa Pllc 400 E Court Ave Ste 110 Des Moines IA 50309-2027 Ph: (860) 788-6404 |
| NPI Number | 1386146678 |
|---|---|
| Provider Enumeration Date | 03/02/2018 |
| Last Update Date | 05/05/2025 |
| Certification Date | 05/05/2025 |
| Medicare PECOS PAC ID | 0446512503 |
|---|---|
| Medicare Enrollment ID | O20180329001998 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1386146678 | NPI | - | NPPES |
| Provider Name | Ana Mercedes Lopez |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1790993962 PECOS PAC ID: 5597788117 Enrollment ID: I20060110000713 |
| Provider Name | Joanie Defibaugh |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1417011313 PECOS PAC ID: 5698814846 Enrollment ID: I20160912000826 |
| Provider Name | Holly E Labertew |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1023517125 PECOS PAC ID: 6103180625 Enrollment ID: I20180510000261 |
| Provider Name | Cheryl A France |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1134144215 PECOS PAC ID: 1557550175 Enrollment ID: I20181012002667 |
| Provider Name | Tiffany Nickie-hull |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1457503534 PECOS PAC ID: 7719268374 Enrollment ID: I20181017000140 |
| Provider Name | Kimberly Souza |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1902200645 PECOS PAC ID: 3072735703 Enrollment ID: I20190410003123 |
| Provider Name | Katrina Alexander |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1821498312 PECOS PAC ID: 6204260656 Enrollment ID: I20191218001712 |
| Provider Name | Kathleen Tallent |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1528238698 PECOS PAC ID: 5991874455 Enrollment ID: I20200419000301 |
| Provider Name | Salvi M Alday |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1871239954 PECOS PAC ID: 2961884721 Enrollment ID: I20220727000665 |
| Provider Name | Emily Drury |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1659889319 PECOS PAC ID: 5991041295 Enrollment ID: I20221026001914 |
| Provider Name | Cristina Ruzila |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1568727550 PECOS PAC ID: 5799939039 Enrollment ID: I20230125002676 |
| Provider Name | Ijeoma Uchegbu |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1336648625 PECOS PAC ID: 9638550155 Enrollment ID: I20250128004124 |
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