| Bethany J Stevens, ARNP | |
|
901 Montgomery St, Decorah, IA 52101-2325 | |
| (563) 382-2911 | |
| (563) 382-1507 |
| Full Name | Bethany J Stevens |
|---|---|
| Gender | Female |
| Speciality | Registered Nurse - Wound Care |
| Location | 901 Montgomery St, Decorah, Iowa |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1598969701 | NPI | - | NPPES |
| P00469843 | Other | IA | RR MEDICARE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363L00000X | Nurse Practitioner | 108954 (Iowa) | Secondary |
| 163WW0000X | Registered Nurse - Wound Care | A108954 (Iowa) | Primary |
| Entity Name | Delaware County Memorial Hospital |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1982667929 PECOS PAC ID: 2062316375 Enrollment ID: O20031119000881 |
| Entity Name | Winneshiek Medical Center |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1992854863 PECOS PAC ID: 4688582935 Enrollment ID: O20040316001437 |
| Entity Name | Winneshiek Medical Center |
|---|---|
| Entity Type | Part A Provider - Critical Access Hospital |
| Entity Identifiers | NPI Number: 1619922051 PECOS PAC ID: 4688582935 Enrollment ID: O20061104000215 |
| Mailing Address | Practice Location Address |
|---|---|
| Bethany J Stevens, ARNP 1600 1st St E, Independence, IA 50644-3155 Ph: (319) 332-0999 | Bethany J Stevens, ARNP 901 Montgomery St, Decorah, IA 52101-2325 Ph: (563) 382-2911 |
Nancy J Gilson, RN DIABETES EDUCATOR Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 901 Montgomery St, Decorah, IA 52101 Phone: 563-382-2911 Fax: 563-387-3102 | |
Scott Eric Nordschow, BSN, RN Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 901 Montgomery St, Decorah, IA 52101 Phone: 563-382-2911 | |
David Eldridge, RN Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 905 Montgomery St, Decorah, IA 52101 Phone: 563-382-3649 Fax: 563-382-8183 | |
Roberta Oloughlin, Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 905 Montgomery St, Decorah, IA 52101 Phone: 563-382-3649 Fax: 563-382-8183 | |
Caitlyn Rae Schultz, ARNP Registered Nurse Medicare: Medicare Enrolled Practice Location: 901 Montgomery St, Decorah, IA 52101 Phone: 563-382-2911 Fax: 563-382-1583 | |
Souksakhone Sengsaisouk, Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 700 College Drive, Decorah, IA 52101 Phone: 563-419-8148 | |
Heidi J Loebig, RN Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 702 Montgomery St, Decorah, IA 52101 Phone: 563-382-8765 |