John Edgette (NPI# 1639276801, PAC ID# 7911189873) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is CLINICAL PSYCHOLOGIST.
| Nation Provider ID (NPI) | 1639276801 |
| PAC ID by PECOS | 7911189873 |
| Professional Enrollment ID | I20151026001200 |
| Full Name | John Edgette |
| Address |
121 W Broadway Ave Suite 11 Fairfield IA 52556-3217 |
| Phone Number | 9178061850 |
| Gender | M |
| Medical School | HAHNEMANN UNIVERSITY COLLEGE OF MEDICINE |
| Graduation Year | 1985 |
| Primary Specialty | CLINICAL PSYCHOLOGIST |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 121 W Broadway Ave, Suite 11, Fairfield, IA 52556-3217 | 9178061850 |
| Street Address |
121 W BROADWAY AVE SUITE 11 |
| City | FAIRFIELD |
| State | IA |
| Zip | 52556-3217 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Deborah S Pogel | Clinical Social Worker | 414 N 3rd St, Suite 6, Fairfield, IA 52556-2466 | |
| Rebecca J Schmitz | Clinical Social Worker | 200 W Lowe Ave, Suite 108, Fairfield, IA 52556-2470 | |
| David J Seagull | Clinical Social Worker | 500 N 3rd St, 208d Therapy Office Katie Ram, Fairfield, IA 52556-2483 | |
| Eilene M Swartz | Nurse Practitioner | 2709 W Briggs, Suite 1, Fairfield, IA 52556-2649 | |
| Christine E England | Clinical Social Worker | 2709 W Briggs Ave, Suite 4, Fairfield, IA 52556-2649 | |
| Randall A Liebe | Optometry | 122 N Court St, Fairfield, IA 52556-2815 | |
| Christopher P Meador | Chiropractic | 1100 W Burlington Ave, Suite 3, Fairfield, IA 52556-2858 | |
| Richard A Rose | Podiatry | 202 E Briggs Ave, Fairfield, IA 52556-2925 | |
| James T Farkas | Chiropractic | 112 W Broadway Ave, Fairfield, IA 52556-3216 | |
| Stephen E Prettyman | Clinical Social Worker | Optimae Lifeservices Inc | 301 W Burlington Ave, Lifesolutions Behavioral Health, Fairfield, IA 52556-3242 |
| Find all physicians in zip 52556 | |||
| City | FAIRFIELD |
| Zip Code | 52556 |
| Specialty | CLINICAL PSYCHOLOGIST |
| City + Specialty | FAIRFIELD + CLINICAL PSYCHOLOGIST |
Please comment or provide details below to improve the information on John Edgette.
| 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.