| Lance Roger Oldorf, PA-C | |
|
1026 A Ave Ne, Cedar Rapids, IA 52402-5036 | |
| (319) 369-7451 | |
| Not Available |
| Full Name | Lance Roger Oldorf |
|---|---|
| Gender | Male |
| Speciality | Physician Assistant |
| Location | 1026 A Ave Ne, Cedar Rapids, Iowa |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1306072343 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | PA.1011 (Alabama) | Secondary |
| 363A00000X | Physician Assistant | 2099 (Tennessee) | Secondary |
| 363A00000X | Physician Assistant | 109718 (Iowa) | Primary |
| Entity Name | Southern Alabama Physicians, LLP |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1467701490 PECOS PAC ID: 0345499562 Enrollment ID: O20121003000896 |
| Mailing Address | Practice Location Address |
|---|---|
| Lance Roger Oldorf, PA-C 650 Joel Dr, Fort Campbell, KY 42223-5318 Ph: Not Available | Lance Roger Oldorf, PA-C 1026 A Ave Ne, Cedar Rapids, IA 52402-5036 Ph: (319) 369-7451 |
Katelyn Swartz, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 800 1st Ave Ne, Cedar Rapids, IA 52402 Phone: 319-730-9507 |
Maylin Sue Yao Swayne, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 1002 4th Ave Se, Cedar Rapids, IA 52403 Phone: 319-298-2200 |
Lindsey Jo Fiechtner, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 2375 Edgewood Rd Sw, Cedar Rapids, IA 52404 Phone: 319-396-1983 |
Mr. Chad D Davis, P.A. - C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 500 8th Ave Se, Cedar Rapids, IA 52401 Phone: 319-364-8704 Fax: 319-365-7747 |
Ms. Amanda C Mcdonagh, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 788 8th Ave Se Ste 300, Cedar Rapids, IA 52401 Phone: 319-398-6747 |
Dzevida Pandzic, Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 1201 3rd Ave Se, Cedar Rapids, IA 52403 Phone: 319-730-7300 |
Tiyanna Russell, Physician Assistant Medicare: Medicare Enrolled Practice Location: 1026 A Ave Ne, Cedar Rapids, IA 52402 Phone: 319-369-7211 |