| Kyle P Compaan, | |
|
1255 Theatre Dr, B, Ottumwa, IA 52501 | |
| (641) 684-2551 | |
| Not Available |
| Full Name | Kyle P Compaan |
|---|---|
| Gender | Male |
| Speciality | Nurse Practitioner - Family |
| Location | 1255 Theatre Dr, Ottumwa, Iowa |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1952712499 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | RN219725 (Georgia) | Primary |
| Entity Name | Emergency Care Of Atlanta Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1093770091 PECOS PAC ID: 0446222111 Enrollment ID: O20040812000223 |
| Entity Name | The Bortolazzo Group, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1801965082 PECOS PAC ID: 3476554320 Enrollment ID: O20070122000015 |
| Mailing Address | Practice Location Address |
|---|---|
| Kyle P Compaan, 6640 Akers Mill Rd Se, Apt. 3322, Atlanta, GA 30339-2624 Ph: () - | Kyle P Compaan, 1255 Theatre Dr, B, Ottumwa, IA 52501 Ph: (641) 684-2551 |
Grace Howe, ARNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 522 N Hancock St, Ottumwa, IA 52501 Phone: 641-683-0800 Fax: 641-683-0801 | |
Kimberly Joan Brown, ARNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 522 N Hancock St, Ottumwa, IA 52501 Phone: 641-683-0800 Fax: 641-683-0801 | |
Jennifer Stromgren, PMHNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1527 Albia Rd, Ottumwa, IA 52501 Phone: 641-682-8772 | |
Jessica Lane Richards, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1001 E Pennsylvania Avenue, Ottumwa, IA 52501 Phone: 641-684-2300 | |
Mrs. Jayci Michelle Beamer, ARNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1009 Pennsylvania Ave, Ottumwa, IA 52501 Phone: 641-683-4300 | |
Ashley Bland, ARNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 522 N Hancock St, Ottumwa, IA 52501 Phone: 641-683-0800 Fax: 641-683-0801 | |
Jamie Lee Hyde, ARNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1001 Pennsylvania Ave, Ottumwa, IA 52501 Phone: 641-682-7511 Fax: 641-684-2324 |