| Crescent Community Health Center | |
|
1690 Elm St Ste 300 Dubuque IA 52001-3679 | |
| (563) 690-0321 | |
| (563) 557-8488 |
| Full Name | Crescent Community Health Center |
|---|---|
| Speciality | Family Medicine |
| Location | 1690 Elm St Ste 300, Dubuque, Iowa |
| Authorized Official Name and Position | Joelle Nicole Clemens (CREDENTIALING SPECIALIST) |
| Authorized Official Contact | 5636905206 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Crescent Community Health Center 1690 Elm St Ste 300 Dubuque IA 52001-3679 Ph: (563) 690-2850 | Crescent Community Health Center 1690 Elm St Ste 300 Dubuque IA 52001-3679 Ph: (563) 690-0321 |
| NPI Number | 1720146319 |
|---|---|
| Provider Enumeration Date | 12/05/2006 |
| Last Update Date | 08/10/2023 |
| Medicare PECOS PAC ID | 0345343158 |
|---|---|
| Medicare Enrollment ID | O20070806000462 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1720146319 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 08349 (Iowa) | Secondary |
| 207Q00000X | Family Medicine | A100692 (Iowa) | Primary |
| Provider Name | Regan A Wolbers |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1538146634 PECOS PAC ID: 4486626629 Enrollment ID: I20040809001233 |
| Provider Name | Adib Kassas |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1386694156 PECOS PAC ID: 9133158330 Enrollment ID: I20050808001227 |
| Provider Name | Ann M Weltin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1346290491 PECOS PAC ID: 6507898582 Enrollment ID: I20070712000611 |
| Provider Name | Ursula C Livermore |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1376501429 PECOS PAC ID: 9739123340 Enrollment ID: I20101011000696 |
| Provider Name | Katie M Campbell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1275844649 PECOS PAC ID: 4486884111 Enrollment ID: I20140225001893 |
| Provider Name | Jenny L Zalaznik |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1073945499 PECOS PAC ID: 3375774243 Enrollment ID: I20140729002218 |
| Provider Name | James L Livermore |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1497846679 PECOS PAC ID: 1052636289 Enrollment ID: I20150211000806 |
| Provider Name | Heather L Kruse |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1396181012 PECOS PAC ID: 7315255718 Enrollment ID: I20160811000475 |
| Provider Name | Mindy J Roberts |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1447680848 PECOS PAC ID: 2567758881 Enrollment ID: I20160912002337 |
| Provider Name | Lee Berman |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1508271867 PECOS PAC ID: 7416205091 Enrollment ID: I20180731000329 |
| Provider Name | Michael S Peroski |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1689092454 PECOS PAC ID: 2062710288 Enrollment ID: I20180731000504 |
| Provider Name | Ashley Marie Biedermann |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1295211761 PECOS PAC ID: 3274883269 Enrollment ID: I20180913000070 |
| Provider Name | Rachael Ploessl |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1114544681 PECOS PAC ID: 6608295522 Enrollment ID: I20200831001463 |
| Provider Name | Tara G Wepking |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1326356684 PECOS PAC ID: 7911190657 Enrollment ID: I20200901003219 |
| Provider Name | Benjamin Shaw |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1124400510 PECOS PAC ID: 6305264581 Enrollment ID: I20200921001662 |
| Provider Name | Karissa B Sanchez Traun |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1558896621 PECOS PAC ID: 1456622539 Enrollment ID: I20201012002103 |
| Provider Name | Tracy L Tschudi |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1790013209 PECOS PAC ID: 1254751910 Enrollment ID: I20201019000932 |
| Provider Name | Michele A Ganshirt |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1194704791 PECOS PAC ID: 0345652244 Enrollment ID: I20201217002790 |
| Provider Name | Amanda A Renne |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1942857529 PECOS PAC ID: 1052640141 Enrollment ID: I20210203002161 |
| Provider Name | Shay Elizabeth Seeberger |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1891397477 PECOS PAC ID: 9638586951 Enrollment ID: I20210401001102 |
| Provider Name | Christina Steele-lietz |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1467652511 PECOS PAC ID: 1355741133 Enrollment ID: I20210616000628 |
| Provider Name | Caitlyn Bryanne Hicks |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1093290165 PECOS PAC ID: 8426446246 Enrollment ID: I20211221002580 |
| Provider Name | Shiqi Wang |
|---|---|
| Provider Type | Practitioner - Dentist |
| Provider Identifiers | NPI Number: 1174256028 PECOS PAC ID: 5799145488 Enrollment ID: I20230712004337 |
| Provider Name | Mark Walter |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1205910643 PECOS PAC ID: 6103858477 Enrollment ID: I20230816002379 |
| Provider Name | Jon P Decker |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1881016137 PECOS PAC ID: 2062812860 Enrollment ID: I20240417000344 |
Terry J Schmitt Dds Pc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 2100 Asbury Rd, Suite 3, Dubuque, IA 52001 Phone: 563-588-0114 Fax: 563-588-8670 | |
Ted Murray Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 4200 Asbury Rd, Dubuque, IA 52002 Phone: 563-556-2711 Fax: 563-556-8017 | |
Abbadent Dental Llc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 3430 Dodge St Unit 21, Dubuque, IA 52003 Phone: 563-556-8388 | |
Wildflower Kids Dentistry Pllc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 3455 Stoneman Rd Ste 2b, Dubuque, IA 52002 Phone: 563-357-4005 | |
Myotech Iowa Pc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 666 Loras Blvd, Dubuque, IA 52001 Phone: 563-582-0117 Fax: 563-556-5065 | |
Braces By Abbadent, Llc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 3430 Dodge St., Suite 19, Dubuque, IA 52003 Phone: 563-580-2564 | |
David C Wertz Dds Ms Pc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 2615 Dodge St, Dubuque, IA 52003 Phone: 563-556-3555 Fax: 563-556-8379 |