| Boone County Family Medicine Tr | |
|
1115 S Marshall St Boone IA 50036-5304 | |
| (515) 432-2335 | |
| (515) 432-2357 |
| Full Name | Boone County Family Medicine Tr |
|---|---|
| Speciality | Family Medicine |
| Location | 1115 S Marshall St, Boone, Iowa |
| Authorized Official Name and Position | Mikaela Kienitz (CEO) |
| Authorized Official Contact | 5154323140 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Boone County Family Medicine Tr 1115 S Marshall St Boone IA 50036-5304 Ph: (515) 432-2335 | Boone County Family Medicine Tr 1115 S Marshall St Boone IA 50036-5304 Ph: (515) 432-2335 |
| NPI Number | 1033154836 |
|---|---|
| Provider Enumeration Date | 06/17/2006 |
| Last Update Date | 10/10/2023 |
| Medicare PECOS PAC ID | 0941192751 |
|---|---|
| Medicare Enrollment ID | O20040326000708 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1033154836 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| 363LP2300X | Nurse Practitioner - Primary Care | (* (Not Available)) | Secondary |
| Provider Name | Scott L Thiel |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1750359816 PECOS PAC ID: 6103848429 Enrollment ID: I20051229000410 |
| Provider Name | Eric M Peterson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1710955877 PECOS PAC ID: 9133141468 Enrollment ID: I20051229000479 |
| Provider Name | William R Napier |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1730181397 PECOS PAC ID: 4688718059 Enrollment ID: I20100223000637 |
| Provider Name | Joshua James Anderson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1427284645 PECOS PAC ID: 6901093194 Enrollment ID: I20101214000975 |
| Provider Name | Trisha A Filipiak |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1033402375 PECOS PAC ID: 5890940548 Enrollment ID: I20140909002764 |
| Provider Name | Devi M Dunker |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1881959971 PECOS PAC ID: 4587809843 Enrollment ID: I20150903000797 |
| Provider Name | Abby R Bennett |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1780041178 PECOS PAC ID: 2365746179 Enrollment ID: I20160215000918 |
| Provider Name | Mindy K Royster |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1174987341 PECOS PAC ID: 7719278951 Enrollment ID: I20160620001537 |
| Provider Name | Rienera S Sivesind |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1053534107 PECOS PAC ID: 1052500170 Enrollment ID: I20171031002874 |
| Provider Name | Janeen M Busch |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1730608696 PECOS PAC ID: 6709145287 Enrollment ID: I20180108001461 |
| Provider Name | Rodney D Logan |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1811989015 PECOS PAC ID: 1153227632 Enrollment ID: I20190925000377 |
| Provider Name | Kathryn S Linkenmeyer |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1912498981 PECOS PAC ID: 9931457470 Enrollment ID: I20191120002756 |
| Provider Name | Johannah L Hay |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1508157033 PECOS PAC ID: 2163640798 Enrollment ID: I20201208002537 |
Boone County Hospital Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1015 Union St, Suite 120, Boone, IA 50036 Phone: 515-433-8700 Fax: 515-432-6962 | |
Boone Vision Center Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 621 Story St, Boone, IA 50036 Phone: 515-432-2973 | |
Boone County Family Medicine North Walk In Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 120 S Story St, Boone, IA 50036 Phone: 515-433-8585 Fax: 515-432-2123 |