| Betsy Lucille Van Haaften, PA-C | |
|
5705 Nw 100th St Ste 100, Johnston, IA 50131-1813 | |
| (515) 726-3376 | |
| (515) 446-9707 |
| Full Name | Betsy Lucille Van Haaften |
|---|---|
| Gender | Female |
| Speciality | Physician Assistant |
| Experience | 5 Years |
| Location | 5705 Nw 100th St Ste 100, Johnston, 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 |
|---|---|---|---|
| 1023609690 | NPI | - | NPPES |
| 362EA3363 | Other | IA | DRIVER'S LISENCE |
| 1774847 | Other | PA CERTIFICATION NUMBER | |
| 106508 | Other | IA | PA LICENSE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363AM0700X | Physician Assistant - Medical | 106508 (Iowa) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Mercyone Des Moines Medical Center | Des moines, IA | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Central Iowa Dermatology Llc | 3173859378 | 4 |
| Mailing Address | Practice Location Address |
|---|---|
| Betsy Lucille Van Haaften, PA-C 6500 University Ave Unit 309, Des Moines, IA 50324-1664 Ph: (641) 780-0473 | Betsy Lucille Van Haaften, PA-C 5705 Nw 100th St Ste 100, Johnston, IA 50131-1813 Ph: (515) 726-3376 |
Andra R Kennedy, PA Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 5900 Nw 86th St, Suite 100, Johnston, IA 50131 Phone: 515-276-6133 Fax: 515-334-7356 | |
Elizabeth A Foutch, PA Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 5705 Nw 100th St Ste 100, Johnston, IA 50131 Phone: 515-726-3376 Fax: 515-446-9707 | |
Ms. Laurie Lavon Clair, MSPA, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 8460 Birchwood Ct Ste 700, Johnston, IA 50131 Phone: 515-229-2318 | |
Alexis V Taylor, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 5615 Nw 86th St, Johnston, IA 50131 Phone: 515-643-6000 Fax: 515-643-6001 |