Ron Douglas Schafer
Individual provider Active NPI Medical Physician Assistant · Mount Ayr, IA
NPI 1497806038 · NPPES record last updated Nov 23, 2009
Key facts
- NPI
- 1497806038
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Medical Physician Assistant 363AM0700X
- License
- 001299 (IA)
- Practice address
- 504 N. Cleveland St.
Mount Ayr, IA 50854-2201 - Phone
- (641) 464-3226
- Fax
- (641) 464-4420
- NPI assigned
- Jan 12, 2007
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 5
Hospital & facility affiliations 10
Medicare Care Compare profile
- Specialty
- Physician Assistant
- Education
- University of Nebraska College of Medicine, 2004
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Ringgold County Hospital
Practice addresses (Care Compare)
504 N Cleveland St
Mount Ayr, IA 50854-2201
Phone (641) 464-3226
Hospital & facility affiliations
- Everystep
- Taylor County Public Health Agency
- Everystep
- Ringgold County Hospital
- Greater Regional Medical Center
- Mercyone Des Moines Medical Center
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in IA
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20100327000075 | IA | Practitioner - Physician Assistant | 7719013952 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 001299 | IA | MD | Medical Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ringgold County Hospital | Current |
Accepting new patients | |
| Ringgold County Hospital | Current |
Accepting new patients | |
| Ringgold County Hospital | Current | Accepting new patients |
Locations
202 Dunning Ave
Mount Ayr, IA 50854
Phone (641) 464-2330
504 N Cleveland St
Mount Ayr, IA 50854
Phone (641) 464-3226
Interoperability endpoints
- mtayrmedicalclinic@mamc.gwaydirect.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Medical Physician Assistant | 363AM0700X | 001299 | IA | Yes |
Addresses
Primary practice location
504 N. Cleveland St.
Mount Ayr, IA 50854-2201
Mailing address
504 N. Cleveland St.
Mount Ayr, IA 50854-2201
Phone (641) 464-3226
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 970016501 | Medicaid | IA | |
| P00277855 | Medicaid | IA | |
| 24114 | Other | IA | BLUE CROSS |
| 229098 | Other | IA | MIDLAND CHOICE |
| IA0113 | Other | IA | JOHN DEERE |
Other providers in Mount Ayr, IA
- Ringgold County Hospital
- Ringgold County Supportive Services
- Steven R Roe
- Kathlyn E Routh
- Rachael Rumple
- Shopko Stores Operating Co LLC
- Logan Stackhouse
- Helen Deloris Stutzman
- Nickolas Peter Vogel
- Courtney Whitney
All providers in Mount Ayr, IA · Medical Physician Assistant in Iowa
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 23, 2009. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.