Mordechai D Lederman (NPI# 1396741385, PAC ID# 0840263091) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is FAMILY MEDICINE.
| Nation Provider ID (NPI) | 1396741385 |
| PAC ID by PECOS | 0840263091 |
| Professional Enrollment ID | I20040816001069 |
| Full Name | Mordechai D Lederman |
| Organization Legal Name | PALMER LUTHERAN HEALTH CENTER INC |
| Address |
110 King St Fayette IA 52142-9735 |
| Phone Number | 5634253381 |
| Gender | M |
| Credential | DO |
| Graduation Year | 1997 |
| Primary Specialty | FAMILY MEDICINE |
| Secondary Specialties | EMERGENCY MEDICINE |
| Group Practice PAC ID | 4284544255 |
| Number of Group Practice Members | 42 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 161316 | GUNDERSEN PALMER LUTHERAN HOSPITAL AND CLINICS |
| 161371 | WINNESHIEK MEDICAL CENTER |
| 161318 | VETERANS MEMORIAL HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 1830 State Hwy 9, Decorah, IA 52101-7301 | 5633823140 | GUNDERSEN CLINIC LTD |
| 110 King St, Fayette, IA 52142-9735 | 5634253381 | PALMER LUTHERAN HEALTH CENTER INC |
| 50 N 4th St, Lansing, IA 52151-7729 | 5635384874 | GUNDERSEN CLINIC LTD |
| 111 S Reynolds St, Postville, IA 52162-7737 | 5638647512 | PALMER LUTHERAN HEALTH CENTER INC |
| 110 Jefferson St, West Union, IA 52175-1022 | 5634223817 | PALMER LUTHERAN HEALTH CENTER INC |
| 112 Jefferson St, West Union, IA 52175-1022 | 5634223811 | PALMER LUTHERAN HEALTH CENTER INC |
| 201 Hall St, West Union, IA 52175-1006 | 5634223814 | PALMER LUTHERAN HEALTH CENTER INC |
| Organization Legal Name | PALMER LUTHERAN HEALTH CENTER INC |
| Physicians | 27 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Robert C Rogers | Nurse Practitioner | Palmer Lutheran Health Center Inc | 112 Jefferson St, West Union, IA 52175-1022 |
| Samuel D Brauer | Physician Assistant | Palmer Lutheran Health Center Inc | 110 Jefferson St, West Union, IA 52175-1022 |
| Darcy H Connelly | Physician Assistant | Palmer Lutheran Health Center Inc | 111 S Reynolds St, Postville, IA 52162-7737 |
| Geralyn R Zuercher | Family Medicine | Palmer Lutheran Health Center Inc | 110 King St, Fayette, IA 52142-9735 |
| Rhonda A Cue | Nurse Practitioner | Palmer Lutheran Health Center Inc | 110 King St, Fayette, IA 52142-9735 |
| Kirstin D Nelson Lerch | Physician Assistant | Palmer Lutheran Health Center Inc | 110 King St, Fayette, IA 52142-9735 |
| Andrea K Dietzenbach | Physician Assistant | Palmer Lutheran Health Center Inc | 110 Jefferson St, West Union, IA 52175-1022 |
| Shanelle N Pedersen | Nurse Practitioner | Palmer Lutheran Health Center Inc | 110 Jefferson St, West Union, IA 52175-1022 |
| Monika M Prost | Emergency Medicine | Palmer Lutheran Health Center Inc | 110 King St, Fayette, IA 52142-9735 |
| Raquel S Ristau | Physician Assistant | Palmer Lutheran Health Center Inc | 110 Jefferson St, West Union, IA 52175-1022 |
| Street Address |
110 KING ST |
| City | FAYETTE |
| State | IA |
| Zip | 52142-9735 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Geralyn R Zuercher | Family Medicine | Palmer Lutheran Health Center Inc | 110 King St, Fayette, IA 52142-9735 |
| Rhonda A Cue | Nurse Practitioner | Palmer Lutheran Health Center Inc | 110 King St, Fayette, IA 52142-9735 |
| Kirstin D Nelson Lerch | Physician Assistant | Palmer Lutheran Health Center Inc | 110 King St, Fayette, IA 52142-9735 |
| Monika M Prost | Emergency Medicine | Palmer Lutheran Health Center Inc | 110 King St, Fayette, IA 52142-9735 |
| Chelsey E Zitelman | Nurse Practitioner | Palmer Lutheran Health Center Inc | 110 King St, Fayette, IA 52142-9735 |
| Brooke A Tappe | Podiatry | Palmer Lutheran Health Center Inc | 110 King St, Fayette, IA 52142-9735 |
| Mini K Locke | Physician Assistant | Palmer Lutheran Health Center Inc | 110 King St, Fayette, IA 52142-9735 |
| Joshua C Mann | Physician Assistant | Palmer Lutheran Health Center Inc | 110 King St, Fayette, IA 52142-9735 |
| David C White | Emergency Medicine | Palmer Lutheran Health Center Inc | 110 King St, Fayette, IA 52142-9735 |
| Lana J Schmitt | Nurse Practitioner | Palmer Lutheran Health Center Inc | 110 King St, Fayette, IA 52142-9735 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Kirk A Abernathy | Chiropractic | 139 S Main St, Fayette Chiro Clinic, Fayette, IA 52142-7701 | |
| Kristen L Larter | Nurse Practitioner | Palmer Lutheran Health Center Inc | 110 King St, Fayette, IA 52142-9735 |
| Nicholas J Goetsch | Family Practice | Palmer Lutheran Health Center Inc | 110 King St, Fayette, IA 52142-9735 |
| Ronald C Myrom | Internal Medicine | Palmer Lutheran Health Center Inc | 110 King St, Fayette, IA 52142-9735 |
| City | FAYETTE |
| Zip Code | 52142 |
| Specialty | FAMILY MEDICINE |
| City + Specialty | FAYETTE + FAMILY MEDICINE |
Please comment or provide details below to improve the information on Mordechai D Lederman.
| 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.