| Madison Blankenship, | |
|
320 Ebaugh St, Glenwood, IA 51534-1811 | |
| (712) 527-5204 | |
| Not Available |
| Full Name | Madison Blankenship |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Experience | 5 Years |
| Location | 320 Ebaugh St, Glenwood, 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 |
|---|---|---|---|
| 1073281242 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 163W00000X | Registered Nurse | 149120 (Iowa) | Secondary |
| 363L00000X | Nurse Practitioner | A165688 (Iowa) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Methodist Jennie Edmundson | Council bluffs, IA | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Physicians Clinic Inc | 4880506062 | 536 |
| Entity Name | Physicians Clinic Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1821049156 PECOS PAC ID: 4880506062 Enrollment ID: O20040129000296 |
| Mailing Address | Practice Location Address |
|---|---|
| Madison Blankenship, Po Box 3755, Omaha, NE 68103-0755 Ph: (402) 354-5451 | Madison Blankenship, 320 Ebaugh St, Glenwood, IA 51534-1811 Ph: (712) 527-5204 |
Johannah Marie Mckibben, RN, BSN, FNP, MSN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 320 Ebaugh St, Glenwood, IA 51534 Phone: 712-624-9185 Fax: 712-396-4180 | |
Jennifer Van Meeteren, APRN-NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 320 Ebaugh St, Glenwood, IA 51534 Phone: 712-527-5204 Fax: 712-527-9346 | |
Jason A Krist, ARNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 711 S Vine St, Glenwood Resource Center, State Of Iowa, Glenwood, IA 51534 Phone: 712-525-1855 | |
Amanda A. Smith, MSN, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 320 Ebaugh St, Glenwood, IA 51534 Phone: 712-527-5204 Fax: 712-527-9346 | |
Sandra Elaine Leaders, F.N.P. Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 320 Ebaugh St, Glenwood, IA 51534 Phone: 712-527-5204 Fax: 712-527-9346 | |
Ms. Terena Mae Kring, APRN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1203 S Locust St, Glenwood, IA 51534 Phone: 712-527-4100 |