Lisa K Kollasch Parker, NP | |
800 Mercy Dr, Council Bluffs, IA 51503-3128 | |
(712) 328-5230 | |
Not Available |
Full Name | Lisa K Kollasch Parker |
---|---|
Gender | Female |
Speciality | Nurse Practitioner |
Experience | 22 Years |
Location | 800 Mercy Dr, Council Bluffs, 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 |
---|---|---|---|
1306897863 | NPI | - | NPPES |
236904 | Other | IA | MIDLAND CHOICE FOR IOWA |
0458653 | Medicaid | IA | |
100251147-00 | Medicaid | NE | |
37715 | Other | IA | WELLMARK FOR IOWA |
38588 | Other | IA | BCBSNE FOR IOWA |
P00201286 | Other | IA | RRMEDICARE FOR IOWA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363L00000X | Nurse Practitioner | A111561 (Iowa) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Methodist Jennie Edmundson | Council bluffs, IA | Hospital |
The Nebraska Methodist Hospital | Omaha, NE | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Physicians Clinic Inc | 4880506062 | 505 |
Physicians Clinic Inc | 4880506062 | 505 |
Nebraska Methodist Hospital | 6901707447 | 115 |
Entity Name | Physicians Clinic Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1821049156 PECOS PAC ID: 4880506062 Enrollment ID: O20040129000296 |
Mailing Address | Practice Location Address |
---|---|
Lisa K Kollasch Parker, NP 4750 Hempstead Station Dr, Kettering, OH 45429-5164 Ph: (800) 875-0136 | Lisa K Kollasch Parker, NP 800 Mercy Dr, Council Bluffs, IA 51503-3128 Ph: (712) 328-5230 |
Jennifer L Achenbach, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 800 Mercy Dr, Council Bluffs, IA 51503 Phone: 712-325-2484 | |
Mallory Lloyd, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 808 E Pierce St, Council Bluffs, IA 51503 Phone: 402-740-6503 | |
Michelle Rude, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 933 E Pierce St, Council Bluffs, IA 51503 Phone: 712-396-4360 Fax: 712-396-7069 | |
Laura M Ayers, ARNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 800 Mercy Dr, Council Bluffs, IA 51503 Phone: 712-328-5252 | |
Shannon Ranae Stafford, ARNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1604 2nd Ave, Council Bluffs, IA 51501 Phone: 712-322-6650 Fax: 712-328-7985 | |
Brian Luedke, RN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 933 E Pierce St, Council Bluffs, IA 51503 Phone: 712-396-4360 Fax: 712-396-7069 | |
Ms. Emily Wickham, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 3434 W Broadway Ste 100, Council Bluffs, IA 51501 Phone: 712-325-0022 |