| Kelsey Jean Widgeon, | |
|
1825 Logan Ave, Waterloo, IA 50703-1916 | |
| (319) 235-3607 | |
| (319) 235-3958 |
| Full Name | Kelsey Jean Widgeon |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Experience | 3 Years |
| Location | 1825 Logan Ave, Waterloo, 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 |
|---|---|---|---|
| 1356010425 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 163W00000X | Registered Nurse | 144542 (Iowa) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Allen Hospital | Waterloo, IA | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Allen Memorial Hospital Corporation | 4284546045 | 99 |
| Entity Name | Allen Memorial Hospital Corporation |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1891772927 PECOS PAC ID: 4284546045 Enrollment ID: O20031211000480 |
| Mailing Address | Practice Location Address |
|---|---|
| Kelsey Jean Widgeon, 1825 Logan Ave, Waterloo, IA 50703-1916 Ph: (319) 235-3607 | Kelsey Jean Widgeon, 1825 Logan Ave, Waterloo, IA 50703-1916 Ph: (319) 235-3607 |
Michele Lee Jensen, RN Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 604 Lafayette St, Waterloo, IA 50703 Phone: 833-370-0719 Fax: 515-220-2272 | |
Ms. Brooke Holmes, RN Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 3251 W 9th St, Waterloo, IA 50702 Phone: 319-234-2893 Fax: 319-234-0354 | |
Julie Marie Gleason, ARNP Registered Nurse Medicare: Accepting Medicare Assignments Practice Location: 3530 W 4th St, Waterloo, IA 50701 Phone: 319-233-2701 Fax: 319-236-7993 | |
Ms. Jessica D Wilkens, RN Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 3251 W 9th St, Waterloo, IA 50702 Phone: 319-234-2893 Fax: 319-234-0354 | |
Jennifer L Bryant, CRNA Registered Nurse Medicare: Accepting Medicare Assignments Practice Location: 3421 W 9th St, Waterloo, IA 50702 Phone: 319-272-5000 Fax: 319-272-5264 | |
Cassy Lensing, PMHNP Registered Nurse Medicare: Medicare Enrolled Practice Location: 3120 Kimball Ave Ste A, Waterloo, IA 50702 Phone: 641-330-7671 | |
Kathleen D Kuecker, RN Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 2710 Saint Francis Dr, Suite 320, Waterloo, IA 50702 Phone: 319-272-8098 Fax: 319-272-8072 |