| Elizabeth A Foutch, PA | |
|
5705 Nw 100th St Ste 100, Johnston, IA 50131-1813 | |
| (515) 726-3376 | |
| (515) 446-9707 |
| Full Name | Elizabeth A Foutch |
|---|---|
| Gender | Female |
| Speciality | Physician Assistant |
| Experience | 1 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 |
|---|---|---|---|
| 1194519256 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | 134509 (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 | 5 |
| Entity Name | Central Iowa Dermatology LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1922562743 PECOS PAC ID: 3173859378 Enrollment ID: O20190725002402 |
| Mailing Address | Practice Location Address |
|---|---|
| Elizabeth A Foutch, PA 8405 Blackstone, Johnston, IA 50131-8738 Ph: (515) 971-4184 | Elizabeth A Foutch, PA 5705 Nw 100th St Ste 100, Johnston, IA 50131-1813 Ph: (515) 726-3376 |
Betsy Lucille Van Haaften, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 5705 Nw 100th St Ste 100, Johnston, IA 50131 Phone: 515-726-3376 Fax: 515-446-9707 |
Olivia Mae Miesner, Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 5837 Winwood Dr, Johnston, IA 50131 Phone: 877-279-5960 |
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 |
Luke William Ryan, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 5615 Nw 86th St, Johnston, IA 50131 Phone: 515-643-6000 Fax: 515-643-6001 |
Brinnae Nicole Behrends, Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 5408 Nw 88th St Ste 140, Johnston, IA 50131 Phone: 515-368-7504 Fax: 515-355-3491 |
Alaina Nicole Baldner, Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 5408 Nw 88th St Ste 140, Johnston, IA 50131 Phone: 515-368-7504 |
Ms. Laurie Lavon Clair, MSPA, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 8460 Birchwood Ct Ste 700, Johnston, IA 50131 Phone: 515-229-2318 |