Stadia Sports Medicine Pc - Medicare in West Des Moines, IA

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Stadia Sports Medicine Pc is a medicare enrolled "Neuromusculoskeletal Medicine, Sports Medicine" provider in West Des Moines, Iowa. Their current practice location is 6000 University Ave, Suite 250, West Des Moines, Iowa. You can reach out to their office (for appointments etc.) via phone at (515) 221-1102.

Stadia Sports Medicine Pc is licensed to practice in Iowa (license number 36501) and it also participates in the medicare program. Stadia Sports Medicine Pc is enrolled with medicare and should accept medicare assignments and since they are enrolled in medicare, they may order Medicare Part D Prescription drugs, if eligible. The facility's NPI Number is 1962453274.

Contact Information

Stadia Sports Medicine Pc
6000 University Ave, Suite 250,
West Des Moines, IA 50266-8203
(515) 221-1102
(515) 221-1272

Map and Direction




Healthcare Provider's Profile

Full NameStadia Sports Medicine Pc
TypeFacility
SpecialityNeuromusculoskeletal Medicine, Sports Medicine
Location6000 University Ave, West Des Moines, Iowa
Accepts Medicare AssignmentsMedicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1962453274
  • Provider Enumeration Date: 05/12/2006
  • Last Update Date: 08/16/2017
  Medicare PECOS Information:
  • PECOS PAC ID: 4284647579
  • Enrollment ID: O20060804000090

Medical Identifiers

Medical identifiers for Stadia Sports Medicine Pc such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1962453274NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
225100000XPhysical Therapist (* (Not Available))Secondary
204C00000XNeuromusculoskeletal Medicine, Sports Medicine 36501 (Iowa)Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Stadia Sports Medicine Pc acts as a billing entity for following providers:
Provider NameChad T Carlson
Provider TypePractitioner - Sports Medicine
Provider IdentifiersNPI Number: 1326008368
PECOS PAC ID: 3476536079
Enrollment ID: I20060804000072
Provider NameDavid S Freeseman
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1790792067
PECOS PAC ID: 2062419534
Enrollment ID: I20061025000393
Provider NameCatherine Mitchell
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1437479953
PECOS PAC ID: 0143353441
Enrollment ID: I20100806000885
Provider NamePhillip D Mccullough
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1740591411
PECOS PAC ID: 9133253743
Enrollment ID: I20100818000825
Provider NameSamuel I Huey
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1194020487
PECOS PAC ID: 6002096534
Enrollment ID: I20110215000825
Provider NameDetlef J Maltas
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1841595535
PECOS PAC ID: 1557537974
Enrollment ID: I20120105000544
Provider NameDonavon L Greiner
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1245616333
PECOS PAC ID: 5597074674
Enrollment ID: I20151013001106
Provider NameNicholas Grimoskas
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1578939690
PECOS PAC ID: 9638469935
Enrollment ID: I20160527000275
Provider NameRobert W Mortenson
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1255885265
PECOS PAC ID: 7315233525
Enrollment ID: I20160913002917
Provider NameDerek Klein
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1366988180
PECOS PAC ID: 1254614498
Enrollment ID: I20170213001904
Provider NameJoel Ingram
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1831607019
PECOS PAC ID: 0446515704
Enrollment ID: I20180607002116
Provider NameMackenzie J Cichon
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1245721851
PECOS PAC ID: 6608121991
Enrollment ID: I20180608000600
Provider NameLogan Albaugh
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1750750154
PECOS PAC ID: 2365749413
Enrollment ID: I20191218003267
Provider NameCatherine Powell
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1730954991
PECOS PAC ID: 4688019276
Enrollment ID: I20240305003888

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Stadia Sports Medicine Pc is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Stadia Sports Medicine Pc
6000 University Ave, Suite 250,
West Des Moines, IA 50266

Ph: (515) 221-1102		Stadia Sports Medicine Pc
6000 University Ave, Suite 250,
West Des Moines, IA 50266-8203

Ph: (515) 221-1102

Reviews and Comments



Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

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