| Jennifer A Hall, PA-C | |
|
1015 S Hackett Rd, Waterloo, IA 50701-3500 | |
| (319) 274-1000 | |
| (319) 292-6526 |
| Full Name | Jennifer A Hall |
|---|---|
| Gender | Female |
| Speciality | Physician Assistant |
| Location | 1015 S Hackett Rd, Waterloo, Iowa |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1447364823 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | 001614 (Iowa) | Primary |
| Entity Name | Broadlawns Medical Center |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1467447508 PECOS PAC ID: 3678466166 Enrollment ID: O20040206000913 |
| Mailing Address | Practice Location Address |
|---|---|
| Jennifer A Hall, PA-C 1015 S Hackett Rd, Waterloo, IA 50701-3500 Ph: (319) 274-1000 | Jennifer A Hall, PA-C 1015 S Hackett Rd, Waterloo, IA 50701-3500 Ph: (319) 274-1000 |
Shanon Dione Bennett, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 1731 W Ridgeway Ave Ste 100, Waterloo, IA 50701 Phone: 319-833-5888 Fax: 319-833-5891 |
Grant William Clark, Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 1825 Logan Ave, Waterloo, IA 50703 Phone: 319-235-3941 |
Ms. Mary Margaret Heatley, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 2055 Kimball Ave Ste 101, Waterloo, IA 50702 Phone: 319-272-2112 Fax: 319-272-2107 |
Heidi M Bonthuis, PA--C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 905 Franklin St, Waterloo, IA 50703 Phone: 319-272-4300 |
Robert M Welshons, P.A.C. Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 2055 Kimball Ave, Suite 101, Waterloo, IA 50702 Phone: 319-272-2112 Fax: 319-272-2107 |
Angela B Fuller, RN, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 2710 Saint Francis Dr, Suite 210, Waterloo, IA 50702 Phone: 319-272-5000 Fax: 319-272-2167 |
Savannah Lenth, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 2710 Saint Francis Dr Ste 104, Waterloo, IA 50702 Phone: 319-272-5000 |