| Rae Marie Mcdivitt, ARNP | |
|
515 Pacific Ave, Audubon, IA 50025-1056 | |
| (712) 563-2611 | |
| Not Available |
| Full Name | Rae Marie Mcdivitt |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Experience | 9 Years |
| Location | 515 Pacific Ave, Audubon, 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 |
|---|---|---|---|
| 1770931412 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | A125071 (Iowa) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Audubon County Memorial Hospital | Audubon, IA | Hospital |
| Manning Regional Healthcare Center | Manning, IA | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Audubon County Memorial Hospital | 7618866096 | 17 |
| Entity Name | Audubon County Memorial Hospital |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1730153420 PECOS PAC ID: 7618866096 Enrollment ID: O20040312001260 |
| Entity Name | Manning Regional Healthcare Center |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1306969175 PECOS PAC ID: 7618960840 Enrollment ID: O20040405001163 |
| Mailing Address | Practice Location Address |
|---|---|
| Rae Marie Mcdivitt, ARNP 515 Pacific Ave, Audubon, IA 50025-1056 Ph: (712) 563-2611 | Rae Marie Mcdivitt, ARNP 515 Pacific Ave, Audubon, IA 50025-1056 Ph: (712) 563-2611 |
Valerie Ann Riesberg, ARNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 515 Pacific Ave, Audubon, IA 50025 Phone: 712-563-2611 | |
George Smith, ARNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 515 Pacific Ave, Audubon, IA 50025 Phone: 712-563-2611 Fax: 712-563-3078 | |
Carol Klocke, ARNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 515 Pacific Ave, Audubon, IA 50025 Phone: 712-563-2611 Fax: 712-563-3078 | |
Jacquelyn Ann Wilson, CNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 515 Pacific Ave, Audubon, IA 50025 Phone: 712-563-2611 Fax: 712-563-5248 | |
Hope Jennifer Jensen, ARNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 222 Broadway St Ste 2, Audubon, IA 50025 Phone: 855-563-6190 Fax: 855-563-6192 | |
Patty E. Hildreth, ARNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 222 Broadway St, Audubon, IA 50025 Phone: 712-563-4206 Fax: 712-563-2001 |