Family Medicine Clinic, P.C.
A Medicare group practice based in Onawa, IA: 2 NPIs enrolled under one PECOS associate control ID (PAC ID 0547159824), with 10 clinicians.
Medicare enrollment
Medicare enrollment files- PAC ID
- 0547159824
- Provider type
- Part A Provider - Rural Health Clinic, Part B Supplier - Clinic/Group Practice
- Enrolled in
- IA
- Enrollments
- 2
- Group size
- 10 clinicians
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Practice locations
- 2
Enrollment records 2
| Enrollment ID | State | Provider type | NPI |
|---|---|---|---|
| O20060804000173 | IA | Part A Provider - Rural Health Clinic | 1063418820 |
| O20040313000752 | IA | Part B Supplier - Clinic/Group Practice | 1386824787 |
NPIs in this group 2
NPPES NPI RegistryThese NPI records belong to the same enrolled organization. Each has its own page.
-
Family Medicine Clinic, P.C.
- Family Medicine Physician
- Onawa, IA
- NPI 1386824787
-
Family Medicine Clinic, PC
- Family Medicine Physician
- Onawa, IA
- NPI 1063418820
Practice locations
- Onawa, IA2
Clinicians 10
Clinicians who reassign their Medicare benefits to this group (10) or whom Care Compare lists as members (10).
-
Paul Edward Dudley, M.D.
- Family Medicine Physician
- Onawa, IA
- NPI 1194721332
-
Tracy L Kahl, D. O.
- Family Medicine Physician
- Onawa, IA
- NPI 1104812783
-
Shannon Renee Kennedy, M.D.
- Family Medicine Physician
- Onawa, IA
- NPI 1497720197
-
Allison Lee Kovar, M.D.
- Family Medicine Physician
- Onawa, IA
- NPI 1942468111
-
Brandon L Kovar, M.D.
- Family Medicine Physician
- Onawa, IA
- NPI 1154529725
-
Kathryn Moore, ARNP
- Family Medicine Physician
- Onawa, IA
- NPI 1093120826
-
Lisa A. Pape, ARNP
- Nurse Practitioner
- Council Bluffs, IA
- NPI 1578072351
-
Ashton Marie Pruett, ARNP
- Family Nurse Practitioner
- Onawa, IA
- NPI 1851889117
-
Jessica Lynn Renz, NP-C
- Family Nurse Practitioner
- Onawa, IA
- NPI 1538713532
-
Jennifer Lynn Stodden, PAC
- Physician Assistant
- Onawa, IA
- NPI 1730185604
Sources for this page
- Medicare Fee-For-Service Public Provider Enrollment: the enrollments, PAC ID, practice locations and benefit reassignments.
- Care Compare Doctors and Clinicians: group membership, group size and the name CMS shows patients.
- NPPES NPI Registry: the names and addresses of the NPIs above.