| Jenny Dietz, | |
| 
					602 8th St Sw, Altoona, IA 50009-2301  | |
| (515) 414-1830 | |
| Not Available | 
| Full Name | Jenny Dietz | 
|---|---|
| Gender | Female | 
| Speciality | Nurse Practitioner - Psychiatric/mental Health | 
| Location | 602 8th St Sw, Altoona, Iowa | 
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1053964452 | NPI | - | NPPES | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 363LP0808X | Nurse Practitioner - Psychiatric/mental Health | G155693 (Iowa) | Primary | 
| 363LP0808X | Nurse Practitioner - Psychiatric/mental Health | 233383 (Arizona) | Secondary | 
| Entity Name | Med Management Associates Of Iowa Pc | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1871084384 PECOS PAC ID: 4183976921 Enrollment ID: O20181005002764  | 
| Mailing Address | Practice Location Address | 
|---|---|
| Jenny Dietz, 11809 241st Ave, Harmony, MN 55939-6515 Ph: (260) 265-0799  | Jenny Dietz, 602 8th St Sw, Altoona, IA 50009-2301 Ph: (515) 414-1830  | 
Nicole Cherie Thompson, ARNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2720 8th St Sw, Altoona, IA 50009 Phone: 515-967-0133 Fax: 515-967-7578  | |
Dr. Callie M Williams, DNP, ARNP, CPNP-PC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 700 1st Ave S Ste B, Altoona, IA 50009 Phone: 515-967-8887 Fax: 833-913-0981  | |
Jacob Cooper, ARNP, AGNP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 2720 8th St Sw, Altoona, IA 50009 Phone: 515-967-0133  | |
Mrs. Julia Marcene Harvey, ARNP, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2720 8th St Sw, Altoona, IA 50009 Phone: 515-967-0133 Fax: 515-967-7578  | |
Jessica Lynn Schott, AGNP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 200 7th Ave Sw, Altoona, IA 50009 Phone: 712-240-2779  | |
Miss Deborah A Smith, ARNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 3770 8th Street Sw, Suite B, Altoona, IA 50009 Phone: 515-270-1000 Fax: 515-967-5581  |