Alena D Ellerbroek (NPI# 1376858654, PAC ID# 1254523673) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NURSE PRACTITIONER.
| Nation Provider ID (NPI) | 1376858654 |
| PAC ID by PECOS | 1254523673 |
| Professional Enrollment ID | I20101004001210 |
| Full Name | Alena D Ellerbroek |
| Organization Legal Name | PREMIER DERMATOLOGY LTD |
| Address |
441 E San Marnan Dr Suite 110 Waterloo IA 50702-5900 |
| Phone Number | 3192346000 |
| Gender | F |
| Graduation Year | 2010 |
| Primary Specialty | NURSE PRACTITIONER |
| Group Practice PAC ID | 3173765294 |
| Number of Group Practice Members | 2 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 161339 | WAVERLY HEALTH CENTER |
| 160067 | COVENANT MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 441 E San Marnan Dr, Suite 110, Waterloo, IA 50702-5900 | 3192346000 | PREMIER DERMATOLOGY LTD |
| Organization Legal Name | PREMIER DERMATOLOGY LTD |
| Physicians | 2 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Justin C Ellerbroek | Dermatology | Premier Dermatology Ltd | 441 E San Marnan Dr, Suite 110, Waterloo, IA 50702-5900 |
| Street Address |
441 E SAN MARNAN DR SUITE 110 |
| City | WATERLOO |
| State | IA |
| Zip | 50702-5900 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Justin C Ellerbroek | Dermatology | Premier Dermatology Ltd | 441 E San Marnan Dr, Suite 110, Waterloo, IA 50702-5900 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Emily K Allaire | Clinical Social Worker | 615 Grant Ave, Waterloo, IA 50702-2111 | |
| Chad J Buss | Chiropractic | Better Health Chiropractic Inc | 1955 Laporte Rd, Waterloo, IA 50702-2741 |
| Reed A Pryor | Chiropractic | Better Health Chiropractic Inc | 1955 Laporte Rd, Waterloo, IA 50702-2741 |
| Patrick J Weires | Podiatry | Family Foot Healthcare Plc | 927 W 4th St, Waterloo, IA 50702-2801 |
| Kathie Jo Whitt | Podiatry | Family Foot Healthcare Plc | 927 W 4th St, Waterloo, IA 50702-2801 |
| Kurt W Kuhn | Chiropractic | 1125 W 4th St, Waterloo, IA 50702-2845 | |
| Jerome M Tempel | Optometry | 1525 E San Marnan Dr, Waterloo, IA 50702-4300 | |
| Kathryn E Squires | Registered Dietitian Or Nutrition Professional | Hy Vee Inc | 1422 Flammang Dr, Waterloo, IA 50702-4368 |
| Kelley Klein | Physical Therapy | Us Pt Physical Therapy Limited Partnership | 352 E Ridgeway Ave, Waterloo, IA 50702-5042 |
| Kim M Schonhoff Reiter | Physical Therapy | Us Pt Physical Therapy Limited Partnership | 352 E Ridgeway Ave, Waterloo, IA 50702-5042 |
| Find all physicians in zip 50702 | |||
| City | WATERLOO |
| Zip Code | 50702 |
| Specialty | NURSE PRACTITIONER |
| City + Specialty | WATERLOO + NURSE PRACTITIONER |
Please comment or provide details below to improve the information on Alena D Ellerbroek.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.