MEDICARE: DR. JOHN P MEHEGAN MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207RC0000X	Cardiovascular Disease Physician	MD-27268	IA
2	207RI0011X	Interventional Cardiology Physician	MD-27268	IA

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier Issuer
2	060037186	OTHER	RR MEDICARE
4	71960	OTHER	MEDICARE GROUP
5	CA3899	OTHER	RR MEDICARE GROUP

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3	54371	OTHER		WELLMARK

General Provider Information

NPI Number	:	1114907292
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. JOHN P MEHEGAN MD

Provider Business Mailing Address
First Line	:	200 HAWKINS DR
Second Line	:
City	:	IOWA CITY
State	:	IA
Zip	:	52242-1009
Country	:	US
Telephone Number	:	319-399-3400
Fax Number	:	319-399-3401

Provider Business Practice Location Address
First Line	:	540 E JEFFERSON ST STE 400
Second Line	:
City	:	IOWA CITY
State	:	IA
Zip	:	52245-2479
Country	:	US
Telephone Number	:	319-339-3400
Fax Number	:	319-399-3401

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	01/17/2006
Last Update Date	:	04/17/2024

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Directions to “ DR. JOHN P MEHEGAN MD” Practice Location

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