| Dean Lee Guerdet, | |
|
720 Kenyon Rd, Fort Dodge, IA 50501-5759 | |
| (515) 576-7171 | |
| (515) 576-7728 |
| Full Name | Dean Lee Guerdet |
|---|---|
| Gender | Male |
| Speciality | Nurse Practitioner |
| Experience | 10 Years |
| Location | 720 Kenyon Rd, Fort Dodge, Iowa |
| Accepts Medicare Assignments | May be. He may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1922455096 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 163W00000X | Registered Nurse | 135196 (Iowa) | Primary |
| 363LP0808X | Nurse Practitioner - Psychiatric/mental Health | G135196 (Iowa) | Secondary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Trinity Regional Medical Center | Fort dodge, IA | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| North Central Iowa Mental Health Center, Inc | 1153210232 | 12 |
| 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 | North Central Iowa Mental Health Center, Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1922188606 PECOS PAC ID: 1153210232 Enrollment ID: O20040315000923 |
| Mailing Address | Practice Location Address |
|---|---|
| Dean Lee Guerdet, 720 Kenyon Rd, Fort Dodge, IA 50501-5759 Ph: (515) 576-7171 | Dean Lee Guerdet, 720 Kenyon Rd, Fort Dodge, IA 50501-5759 Ph: (515) 576-7171 |
Bridget Moriarty, BSN, RN Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 530 So 25th St, Fort Dodge, IA 50501 Phone: 515-576-2235 | |
Debra K Delp, RN Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 720 Kenyon Rd, Fort Dodge, IA 50501 Phone: 515-955-7171 Fax: 515-573-7898 | |
Tenaea Marie Jeppeson, PMHNP-BC Registered Nurse Medicare: May Accept Medicare Assignments Practice Location: 720 Kenyon Rd, Fort Dodge, IA 50501 Phone: 515-955-7171 | |
Connie Sue Fox, BSN, RN Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 802 Kenyon Rd, Fort Dodge, IA 50501 Phone: 515-574-8322 Fax: 515-574-6077 | |
Kimberly R Hanson, RN Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 720 Kenyon Rd, Fort Dodge, IA 50501 Phone: 515-955-7171 Fax: 515-573-7898 | |
Jacqueline Nicole Beneke, RN Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 530 South 25th Street, Fort Dodge, IA 50501 Phone: 515-576-2235 Fax: 515-576-6863 | |
Elizabeth Brennan, Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 720 Kenyon Rd, Fort Dodge, IA 50501 Phone: 515-955-7171 Fax: 515-573-7898 |