| Mitchell Herman Fonley, PT | |
|
1631 Logan Ave, Waterloo, IA 50703-1237 | |
| (319) 232-2630 | |
| Not Available |
| Full Name | Mitchell Herman Fonley |
|---|---|
| Gender | Male |
| Speciality | Physical Therapist In Private Practice |
| Experience | 22 Years |
| Location | 1631 Logan Ave, Waterloo, Iowa |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1992758163 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | 03651 (Iowa) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Cedar Valley Medical Specialists Pc | 1759291487 | 90 |
| Iowa Physicians Clinic Medical Foundation | 8729992318 | 1047 |
| Provider Name | Iowa Physicians Clinic Medical Foundation |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1366425274 PECOS PAC ID: 8729992318 Enrollment ID: O20031118000363 |
| Provider Name | Cedar Valley Medical Specialists Pc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1497794242 PECOS PAC ID: 1759291487 Enrollment ID: O20031208000462 |
| Mailing Address | Practice Location Address |
|---|---|
| Mitchell Herman Fonley, PT Po Box 2758, Waterloo, IA 50704-2758 Ph: (319) 833-5900 | Mitchell Herman Fonley, PT 1631 Logan Ave, Waterloo, IA 50703-1237 Ph: (319) 232-2630 |
Marissa Stalder, Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 3560 Kimball Ave, Waterloo, IA 50702 Phone: 319-233-6995 Fax: 319-233-7083 | |
Justine Zikuda, MSPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 3820 Pheasant Ln, Waterloo, IA 50701 Phone: 319-233-6995 | |
Kris Marcks, Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 815 Tower Park Dr, Waterloo, IA 50701 Phone: 319-233-6995 Fax: 319-233-7083 | |
Shayla Mcintyre, PT, DPT, CLT-LANA Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 2160 Logan Ave, Waterloo, IA 50703 Phone: 319-226-8560 Fax: 319-226-8565 | |
Ms. Kyle Marie Scheidel, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 2651 Saint Francis Dr, Waterloo, IA 50702 Phone: 319-236-6942 | |
Dr. Robert Paul Sarver, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 2160 Logan Ave, Waterloo, IA 50703 Phone: 319-226-8560 Fax: 319-226-8565 | |
Marie Anne Andren, PT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 2001 Heath St, Waterloo, IA 50703 Phone: 319-234-4423 |