| Family Physicians Of Cedar Rapids, P.c. | |
|
1515 42nd St Ne Cedar Rapids IA 52402-3061 | |
| (319) 365-7581 | |
| (319) 365-0163 |
| Full Name | Family Physicians Of Cedar Rapids, P.c. |
|---|---|
| Speciality | Family Medicine |
| Location | 1515 42nd St Ne, Cedar Rapids, Iowa |
| Authorized Official Name and Position | Mark J Goedken (PRESIDENT) |
| Authorized Official Contact | 3193657581 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Family Physicians Of Cedar Rapids, P.c. 1515 42nd St Ne Cedar Rapids IA 52402-3061 Ph: (319) 365-7581 | Family Physicians Of Cedar Rapids, P.c. 1515 42nd St Ne Cedar Rapids IA 52402-3061 Ph: (319) 365-7581 |
| NPI Number | 1285663849 |
|---|---|
| Provider Enumeration Date | 07/03/2006 |
| Last Update Date | 06/23/2022 |
| Medicare PECOS PAC ID | 6800786252 |
|---|---|
| Medicare Enrollment ID | O20040318000736 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1285663849 | NPI | - | NPPES |
| 15468 | Other | IA | CLINIC NUMBER |
| 0154682 | Medicaid | IA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (Iowa) | Primary |
| Provider Name | Mark J Goedken |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1386630663 PECOS PAC ID: 2961420054 Enrollment ID: I20100915000296 |
| Provider Name | Jennifer L Forkner |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1710282355 PECOS PAC ID: 7911189121 Enrollment ID: I20110309000691 |
Bae Cedar Rapids Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 7825 6th St Sw, Cedar Rapids, IA 52404 Phone: 615-468-3188 | |
Family Chiropractic Wellness Center, Inc. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 3150 E Ave Nw, Suite 101, Cedar Rapids, IA 52405 Phone: 319-390-2970 Fax: 319-390-2959 | |
Abbe Center Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 520 11th St Nw, Cedar Rapids, IA 52405 Phone: 319-730-7300 | |
Family Medicine Specialists, P.c. Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 500 8th Ave Se, Cedar Rapids, IA 52401 Phone: 319-364-8704 Fax: 319-365-7747 | |
Mercycare Health Partners Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 600 7th St Se, Suite 101, Cedar Rapids, IA 52401 Phone: 319-221-8627 Fax: 319-221-8563 | |
Mary Nelson Md Pc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 411 10th St Se, Suite 1400, Cedar Rapids, IA 52403 Phone: 319-365-8616 Fax: 319-297-7377 | |
Pillar Health Pllc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1951 51st St Ne Ste 1, Cedar Rapids, IA 52402 Phone: 319-449-4052 Fax: 319-449-4153 |