Kelsey Nicole Bauer, PMHNP | |
3500 W 4th St, Sioux City, IA 51103-3203 | |
(800) 472-9018 | |
Not Available |
Full Name | Kelsey Nicole Bauer |
---|---|
Gender | Female |
Speciality | Nurse Practitioner |
Experience | 3 Years |
Location | 3500 W 4th St, Sioux City, Iowa |
Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1114681889 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LP0808X | Nurse Practitioner - Psychiatric/mental Health | G166049 (Iowa) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Jackson Recovery Centers Inc | 2466599634 | 5 |
Entity Name | Jackson Recovery Centers Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1811994973 PECOS PAC ID: 2466599634 Enrollment ID: O20091020000508 |
Mailing Address | Practice Location Address |
---|---|
Kelsey Nicole Bauer, PMHNP 89190 Highway 81, Fordyce, NE 68736-3013 Ph: (402) 640-9888 | Kelsey Nicole Bauer, PMHNP 3500 W 4th St, Sioux City, IA 51103-3203 Ph: (800) 472-9018 |
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