Mindy Dejager (NPI# 1841608148, PAC ID# 2668690793) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NURSE PRACTITIONER.
Nation Provider ID (NPI) | 1841608148 |
PAC ID by PECOS | 2668690793 |
Professional Enrollment ID | I20140902001314 |
Full Name | Mindy Dejager |
Organization Legal Name | HAWARDEN REGIONAL HEALTHCARE CLINICS LLC |
Address |
318 Main St Ireton IA 51027-7794 |
Phone Number | 7122781011 |
Gender | F |
Graduation Year | 2014 |
Primary Specialty | NURSE PRACTITIONER |
Group Practice PAC ID | 7517929532 |
Number of Group Practice Members | 4 |
Accepts Medicare Assignment | Y |
Claim Control Number (CCN) | Legal Business Name |
---|---|
161311 | HAWARDEN REGIONAL HEALTHCARE |
Address | Phone | Organization |
---|---|---|
318 Main St, Ireton, IA 51027-7794 | 7122781011 | HAWARDEN REGIONAL HEALTHCARE CLINICS LLC |
Organization Legal Name | HAWARDEN REGIONAL HEALTHCARE CLINICS LLC |
Physicians | 2 |
Name | Specialty | Organization | Address |
---|---|---|---|
Beau Waddell | Family Medicine | Hawarden Regional Healthcare Clinics LLC | 1111 11th St, Hawarden, IA 51023-1903 |
Street Address |
318 MAIN ST |
City | IRETON |
State | IA |
Zip | 51027-7794 |
Name | Specialty | Organization | Address |
---|---|---|---|
John G Sparti | Family Medicine | 318 Main St, Dallas, GA 30132-4266 | |
Victoria V Blom | Clinical Social Worker | 318 Main St, Suite 205, Millburn, NJ 07041-1181 | |
Michael C Fox | Chiropractic | 318 Main St, Suite 101, Millburn, NJ 07041-1181 | |
Maria A Santiago | Clinical Social Worker | 318 Main St, Suite 205, Millburn, NJ 07041-1181 | |
John S Lo Conte | Psychologist, Clinical | 318 Main St, Suite 203a, Millburn, NJ 07041-1181 | |
Michael S Hessdorf | Clinical Social Worker | 318 Main St, Suite 200d, Millburn, NJ 07041-1181 |
City | IRETON |
Zip Code | 51027 |
Specialty | NURSE PRACTITIONER |
City + Specialty | IRETON + NURSE PRACTITIONER |
Please comment or provide details below to improve the information on Mindy Dejager.
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.