Duane A Widen (NPI# 1578593240, PAC ID# 3577687193) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is CHIROPRACTIC.
| Nation Provider ID (NPI) | 1578593240 |
| PAC ID by PECOS | 3577687193 |
| Professional Enrollment ID | I20100902000523 |
| Full Name | Duane A Widen |
| Organization Legal Name | EVANSDALE CHIROPRACTIC CLINIC PLC |
| Address |
209 S Evans Rd Evansdale IA 50707-1121 |
| Phone Number | 3192344872 |
| Gender | M |
| Graduation Year | 1988 |
| Primary Specialty | CHIROPRACTIC |
| Group Practice PAC ID | 9133010747 |
| Number of Group Practice Members | 2 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 209 S Evans Rd, Evansdale, IA 50707-1121 | 3192344872 | EVANSDALE CHIROPRACTIC CLINIC PLC |
| Measure Identifier | Measure Title | Performance Rate | Reporting Mechanism |
|---|---|---|---|
| MIPS_EC_131_overall | Pain Assessment and Follow-Up | 100% | |
| MIPS_EC_182_overall | Functional Outcome Assessment | 100% |
| Organization Legal Name | EVANSDALE CHIROPRACTIC CLINIC PLC |
| Physicians | 2 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Christopher Joe Fretheim | Chiropractic | Evansdale Chiropractic Clinic Plc | 209 S Evans Rd, Evansdale, IA 50707-1121 |
| Street Address |
209 S EVANS RD |
| City | EVANSDALE |
| State | IA |
| Zip | 50707-1121 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Christopher Joe Fretheim | Chiropractic | Evansdale Chiropractic Clinic Plc | 209 S Evans Rd, Evansdale, IA 50707-1121 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Angela K Ames | Nurse Practitioner | Covenant Medical Center Inc | 3562 Lafayette Rd, Evansdale, IA 50707-1025 |
| Janet R Eimers | Clinical Social Worker | Covenant Medical Center Inc | 3562 Lafayette Rd, Evansdale, IA 50707-1025 |
| Megan M Kittleson | Physician Assistant | Iowa Physicians Clinic Medical Foundation | 3701 Lafayette Rd, Evansdale, IA 50707-1129 |
| Taylor Odneal | Nurse Practitioner | Iowa Physicians Clinic Medical Foundation | 3701 Lafayette Rd, Evansdale, IA 50707-1129 |
| Quentin E Stenger | Physician Assistant | Iowa Physicians Clinic Medical Foundation | 3701 Lafayette Rd, Evansdale, IA 50707-1129 |
| Marilyn J Lies | Family Medicine | Iowa Physicians Clinic Medical Foundation | 3701 Lafayette Rd, Evansdale, IA 50707-1129 |
| Christy M Weber | Nurse Practitioner | Iowa Physicians Clinic Medical Foundation | 3701 Lafayette Rd, Evansdale, IA 50707-1129 |
| City | EVANSDALE |
| Zip Code | 50707 |
| Specialty | CHIROPRACTIC |
| City + Specialty | EVANSDALE + CHIROPRACTIC |
Please comment or provide details below to improve the information on Duane A Widen.
| 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.