Distaff Professionals, Llc - Medicare Primary Care in Bloomfield, IA

Distaff Professionals, Llc is a medicare enrolled primary clinic (Family Medicine) in Bloomfield, Iowa. The current practice location for Distaff Professionals, Llc is 607 W Jefferson St, Bloomfield, Iowa. For appointments, you can reach them via phone at (641) 664-3621. The mailing address for Distaff Professionals, Llc is Po Box 67, Bloomfield, Iowa and phone number is (641) 664-3621.

Distaff Professionals, Llc is licensed to practice in * (Not Available) (license number ). The clinic also participates in the medicare program and its NPI number is 1265480040. This medical practice accepts medicare insurance (which means this clinic accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance). However, please confirm if they accept your insurance at (641) 664-3621.

Contact Information

Distaff Professionals, Llc
607 W Jefferson St
Bloomfield
IA 52537-1516
(641) 664-3621
(641) 664-3690

Primary Care Clinic Profile

Full NameDistaff Professionals, Llc
SpecialityFamily Medicine
Location607 W Jefferson St, Bloomfield, Iowa
Authorized Official Name and PositionDorothy Cline-campbell (MANAGER)
Authorized Official Contact6416643621
Accepts Medicare InsuranceYes. This clinic participates in medicare program and accept medicare insurance.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Distaff Professionals, Llc
Po Box 67
Bloomfield
IA 52537-0067

Ph: (641) 664-3621
Distaff Professionals, Llc
607 W Jefferson St
Bloomfield
IA 52537-1516

Ph: (641) 664-3621

NPI Details:

NPI Number1265480040
Provider Enumeration Date05/04/2006
Last Update Date02/01/2010

Medicare PECOS Information:

Medicare PECOS PAC ID1658363387
Medicare Enrollment IDO20040401000673

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Medical Identifiers

Medical identifiers for Distaff Professionals, Llc such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1265480040NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207Q00000XFamily Medicine (* (Not Available))Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Distaff Professionals, Llc acts as a billing entity for following providers:
Provider NameDorothy W Cline Campbell
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1568411817
PECOS PAC ID: 5092707737
Enrollment ID: I20080223000056

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