| Allysha Huddleson, ARNP | |
|
210 W 1st St Ste 1, Wall Lake, IA 51466-7726 | |
| (712) 664-2418 | |
| Not Available |
| Full Name | Allysha Huddleson |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Experience | 3 Years |
| Location | 210 W 1st St Ste 1, Wall Lake, Iowa |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1508641820 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | A173430 (Iowa) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Pocahontas County Health Department | Pocahontas, IA | Home health agency |
| Pocahontas Community Hospital | Pocahontas, IA | Hospital |
| Trinity Regional Medical Center | Fort dodge, IA | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Marys Care Memorial Clinic | 0941628887 | 2 |
| Trinity Regional Medical Center | 7315858529 | 144 |
| Entity Name | Trinity Regional Medical Center |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1073594156 PECOS PAC ID: 7315858529 Enrollment ID: O20031204000921 |
| Entity Name | Marys Care Memorial Clinic |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1033736871 PECOS PAC ID: 0941628887 Enrollment ID: O20200909002935 |
| Mailing Address | Practice Location Address |
|---|---|
| Allysha Huddleson, ARNP Po Box 181, Wall Lake, IA 51466-0181 Ph: (712) 660-3923 | Allysha Huddleson, ARNP 210 W 1st St Ste 1, Wall Lake, IA 51466-7726 Ph: (712) 664-2418 |
Amanda Buse, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 210 W 1st St, Wall Lake, IA 51466 Phone: 712-664-2418 Fax: 949-655-8648 |