| Paul David Shepard, PA-C | |
|
1825 Logan Ave, Waterloo, IA 50703-1916 | |
| (319) 235-3941 | |
| Not Available |
| Full Name | Paul David Shepard |
|---|---|
| Gender | Male |
| Speciality | Physician Assistant - Medical |
| Location | 1825 Logan Ave, Waterloo, Iowa |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1932356276 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363AM0700X | Physician Assistant - Medical | 001927 (Iowa) | Primary |
| 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 |
| Entity Name | Iowa Emergency Physicians LLP |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1386879427 PECOS PAC ID: 5991856064 Enrollment ID: O20090701000057 |
| Entity Name | Unitypoint Health - Marshalltown |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1164957593 PECOS PAC ID: 0941587307 Enrollment ID: O20170608002304 |
| Mailing Address | Practice Location Address |
|---|---|
| Paul David Shepard, PA-C 1825 Logan Ave, Waterloo, IA 50703-1916 Ph: (319) 235-3941 | Paul David Shepard, PA-C 1825 Logan Ave, Waterloo, IA 50703-1916 Ph: (319) 235-3941 |
Shanon Dione Bennett, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 1731 W Ridgeway Ave Ste 100, Waterloo, IA 50701 Phone: 319-833-5888 Fax: 319-833-5891 |
Grant William Clark, Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 1825 Logan Ave, Waterloo, IA 50703 Phone: 319-235-3941 |
Ms. Mary Margaret Heatley, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 2055 Kimball Ave Ste 101, Waterloo, IA 50702 Phone: 319-272-2112 Fax: 319-272-2107 |
Heidi M Bonthuis, PA--C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 905 Franklin St, Waterloo, IA 50703 Phone: 319-272-4300 |
Robert M Welshons, P.A.C. Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 2055 Kimball Ave, Suite 101, Waterloo, IA 50702 Phone: 319-272-2112 Fax: 319-272-2107 |
Angela B Fuller, RN, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 2710 Saint Francis Dr, Suite 210, Waterloo, IA 50702 Phone: 319-272-5000 Fax: 319-272-2167 |
Savannah Lenth, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 2710 Saint Francis Dr Ste 104, Waterloo, IA 50702 Phone: 319-272-5000 |