| Heartland Family Service | |
|
2101 S 42nd St Omaha NE 68105-2947 | |
| (402) 553-3000 | |
| (402) 553-3133 |
| Full Name | Heartland Family Service |
|---|---|
| Speciality | Clinic/Center |
| Location | 2101 S 42nd St, Omaha, Nebraska |
| Authorized Official Name and Position | John Jeanetta (PRESIDENT/CEO) |
| Authorized Official Contact | 4025527402 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Heartland Family Service 2101 S 42nd St Omaha NE 68105 Ph: (402) 553-3000 | Heartland Family Service 2101 S 42nd St Omaha NE 68105-2947 Ph: (402) 553-3000 |
| NPI Number | 1891788048 |
|---|---|
| Provider Enumeration Date | 08/23/2005 |
| Last Update Date | 09/01/2010 |
| Medicare PECOS PAC ID | 7315833506 |
|---|---|
| Medicare Enrollment ID | O20040225000174 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1891788048 | NPI | - | NPPES |
| 086011 | Other | NE | MEDICARE ID-TYE UNSPECIFI |
| Provider Name | Michael Lee Coy |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1124152780 PECOS PAC ID: 4082655055 Enrollment ID: I20050519000742 |
| Provider Name | Denise M Falcon |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1295809408 PECOS PAC ID: 6305865148 Enrollment ID: I20051122000199 |
| Provider Name | Terry M Ideker |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1326227224 PECOS PAC ID: 2264590843 Enrollment ID: I20081027000286 |
| Provider Name | Donna Lenz |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1417237611 PECOS PAC ID: 0547403958 Enrollment ID: I20130904000954 |
| Provider Name | Stephanie R Gray |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1598786097 PECOS PAC ID: 2466426697 Enrollment ID: I20141126001237 |
| Provider Name | Terry E Stewart-deseck |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1851350904 PECOS PAC ID: 6608819941 Enrollment ID: I20150128000790 |
| Provider Name | Crystal Reyelts |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1053751107 PECOS PAC ID: 5193012672 Enrollment ID: I20160927002051 |
| Provider Name | Paul M Wilken |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1427579374 PECOS PAC ID: 0446523591 Enrollment ID: I20170912001043 |
| Provider Name | Alyssa Hickert |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1164874095 PECOS PAC ID: 3274895966 Enrollment ID: I20180316000172 |
| Provider Name | Traci J Warren |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1104300151 PECOS PAC ID: 0941546071 Enrollment ID: I20190110003018 |
| Provider Name | Samuel Hutchinson |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1033630934 PECOS PAC ID: 6103163365 Enrollment ID: I20190125000480 |
| Provider Name | Jonnae Luck |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1720445208 PECOS PAC ID: 7517209802 Enrollment ID: I20190507002586 |
| Provider Name | Paige Seier |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1801331525 PECOS PAC ID: 9335488683 Enrollment ID: I20190520000578 |
| Provider Name | Justin Romano |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1134614399 PECOS PAC ID: 7517219785 Enrollment ID: I20200604000249 |
| Provider Name | Mary Royer |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1578010542 PECOS PAC ID: 6103214184 Enrollment ID: I20211025000752 |
| Provider Name | Kaitlin Carlson |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1780167676 PECOS PAC ID: 7911395900 Enrollment ID: I20211116000518 |
| Provider Name | Alfred Ongesa |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1013688530 PECOS PAC ID: 2163810151 Enrollment ID: I20211130003030 |
| Provider Name | Erica L Irwin |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1811683659 PECOS PAC ID: 9739549585 Enrollment ID: I20230712002594 |
| Provider Name | Gerardo Guerrero-segura |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1417637893 PECOS PAC ID: 0446613103 Enrollment ID: I20230919002024 |
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