| Eric Charles Richard, | |
|
5880 University Ave Ste 102, West Des Moines, IA 50266-8209 | |
| (515) 633-3600 | |
| (515) 288-0840 |
| Full Name | Eric Charles Richard |
|---|---|
| Gender | Male |
| Speciality | Physician Assistant |
| Experience | 2 Years |
| Location | 5880 University Ave Ste 102, West Des Moines, Iowa |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1679274344 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | 127395 (Iowa) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Mercyone Des Moines Medical Center | Des moines, IA | Hospital |
| Mercyone Waterloo Medical Center | Waterloo, IA | Hospital |
| Dallas County Hospital | Perry, IA | Hospital |
| Mercyone Centerville Medical Center | Centerville, IA | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Covenant Medical Center Inc | 0244148732 | 234 |
| Catholic Health Initiatives-iowa Corp | 5698683142 | 111 |
| Entity Name | Covenant Medical Center Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1548288160 PECOS PAC ID: 0244148732 Enrollment ID: O20031111000534 |
| Entity Name | Catholic Health Initiatives-iowa Corp |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1629301684 PECOS PAC ID: 5698683142 Enrollment ID: O20031118000163 |
| Mailing Address | Practice Location Address |
|---|---|
| Eric Charles Richard, Po Box 677080, Dallas, TX 75267-7080 Ph: (515) 633-3600 | Eric Charles Richard, 5880 University Ave Ste 102, West Des Moines, IA 50266-8209 Ph: (515) 633-3600 |
Brittany A Muller, MMS, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 5950 University Ave Ste 275, West Des Moines, IA 50266 Phone: 515-875-9255 |
Teresa A Sieck, P.A. Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 5880 University Ave, West Des Moines, IA 50266 Phone: 515-633-3600 Fax: 515-288-0840 |
Nikki Suzette Williams, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 6001 Westown Pkwy, West Des Moines, IA 50266 Phone: 515-224-1414 Fax: 515-224-5140 |
Bradley Reed Carroll, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 6001 Westown Pkwy, West Des Moines, IA 50266 Phone: 515-224-1414 Fax: 515-224-5140 |
Alyssa A Monson, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 6000 University Ave Ste 450, West Des Moines, IA 50266 Phone: 515-241-2010 Fax: 515-241-2009 |
Natalie Gergler, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 630 S 50th St, West Des Moines, IA 50265 Phone: 515-422-9552 |
Seth Francis Hockaday, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 6001 Westown Pkwy, West Des Moines, IA 50266 Phone: 515-224-1414 |