| Medical Associates Of Maquoketa, P.c. | |
|
918 W Platt St # 1 Maquoketa IA 52060-2038 | |
| (563) 652-5145 | |
| (563) 652-3674 |
| Full Name | Medical Associates Of Maquoketa, P.c. |
|---|---|
| Speciality | Family Medicine |
| Location | 918 W Platt St # 1, Maquoketa, Iowa |
| Authorized Official Name and Position | Jennifer M Orr (OFFICE ADMINISTRATOR) |
| Authorized Official Contact | 5636525145 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Medical Associates Of Maquoketa, P.c. 918 W Platt St # 1 Maquoketa IA 52060-2038 Ph: (563) 652-5145 | Medical Associates Of Maquoketa, P.c. 918 W Platt St # 1 Maquoketa IA 52060-2038 Ph: (563) 652-5145 |
| NPI Number | 1295715597 |
|---|---|
| Provider Enumeration Date | 01/20/2006 |
| Last Update Date | 04/09/2008 |
| Medicare PECOS PAC ID | 7416847181 |
|---|---|
| Medicare Enrollment ID | O20040317000336 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1295715597 | NPI | - | NPPES |
| 0126896 | Medicaid | IA | |
| CP8149 | Other | IA | RAILROAD MEDICARE |
| 1126896 | Medicaid | IA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| Provider Name | Kimberly A Thompson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1942252895 PECOS PAC ID: 0143218594 Enrollment ID: I20040504000868 |
| Provider Name | Eric S Petersen |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1538149042 PECOS PAC ID: 9234142258 Enrollment ID: I20091203000661 |
| Provider Name | Jody L Livesay |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1891746988 PECOS PAC ID: 8921188566 Enrollment ID: I20100504000505 |
| Provider Name | Brandon B Rickertsen |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1639519531 PECOS PAC ID: 0042453516 Enrollment ID: I20130830000817 |
| Provider Name | Tricia Marie Steines |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1568802163 PECOS PAC ID: 9032343769 Enrollment ID: I20131010001913 |
| Provider Name | Katherine E Ruff |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1225699820 PECOS PAC ID: 4688902471 Enrollment ID: I20190816002541 |
Maquoketa Family Clinic Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 206 N Arcade St, Maquoketa, IA 52060 Phone: 563-652-6711 Fax: 563-652-6715 |