Terry Mason (NPI# 1124554555, PAC ID# 2264709070) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is CLINICAL PSYCHOLOGIST.
Nation Provider ID (NPI) | 1124554555 |
PAC ID by PECOS | 2264709070 |
Professional Enrollment ID | I20170530000187 |
Full Name | Terry Mason |
Organization Legal Name | MEDITELECARE OF IOWA PLLC |
Address |
508 W Pearl St Meditelecare 2 Afton IA 50830-1057 |
Phone Number | 8327420117 |
Gender | M |
Medical School | TEXAS TECH UNIVERSITY HEALTH SCIENCE CENTER SCHOOL OF MEDICINE |
Graduation Year | 1982 |
Primary Specialty | CLINICAL PSYCHOLOGIST |
Group Practice PAC ID | 0446512503 |
Number of Group Practice Members | 10 |
Accepts Medicare Assignment | Y |
Address | Phone | Organization |
---|---|---|
508 W Pearl St, Meditelecare 2, Afton, IA 50830-1057 | 8327420117 | MEDITELECARE OF IOWA PLLC |
Organization Legal Name | MEDITELECARE OF IOWA PLLC |
Physicians | 6 |
Name | Specialty | Organization | Address |
---|---|---|---|
Holly E Labertew | Nurse Practitioner | Meditelecare of Iowa Pllc | 21 E Main St, Meditelecare 21, Waukon, IA 52172-1748 |
Laura J Dunlap | Psychologist, Clinical | Meditelecare of Iowa Pllc | 150 W Washington St, Meditelecare 16, North English, IA 52316-9514 |
Erin N Krieg | Nurse Practitioner | Meditelecare of Iowa Pllc | 21 E Main St, Meditelecare 21, Waukon, IA 52172-1748 |
Misty Boyd | Clinical Psychologist | Meditelecare of Iowa Pllc | 508 W Pearl St, Meditelecare 2, Afton, IA 50830-1057 |
Ana Mercedes Lopez Dawson | Clinical Psychologist | Meditelecare of Iowa Pllc | 508 W Pearl St, Meditelecare 2, Afton, IA 50830-1057 |
Street Address |
508 W PEARL ST MEDITELECARE 2 |
City | AFTON |
State | IA |
Zip | 50830-1057 |
Name | Specialty | Organization | Address |
---|---|---|---|
Misty Boyd | Clinical Psychologist | Meditelecare of Iowa Pllc | 508 W Pearl St, Meditelecare 2, Afton, IA 50830-1057 |
Ana Mercedes Lopez Dawson | Clinical Psychologist | Meditelecare of Iowa Pllc | 508 W Pearl St, Meditelecare 2, Afton, IA 50830-1057 |
City | AFTON |
Zip Code | 50830 |
Specialty | CLINICAL PSYCHOLOGIST |
City + Specialty | AFTON + CLINICAL PSYCHOLOGIST |
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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.