Michelle E Misek Saub, ARNP | |
1 Edmundson Pl, Ste. 310, Council Bluffs, IA 51503-4658 | |
(712) 396-4310 | |
(712) 396-7069 |
Full Name | Michelle E Misek Saub |
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Gender | Female |
Speciality | Nurse Practitioner |
Location | 1 Edmundson Pl, Council Bluffs, Iowa |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1477989499 | NPI | - | NPPES |
47068731712 | Medicaid | NE | |
1477989499 | Medicaid | IA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363L00000X | Nurse Practitioner | C134834 (Iowa) | Primary |
363LP0200X | Nurse Practitioner - Pediatrics | C134834 (Iowa) | Secondary |
Entity Name | Physicians Clinic Inc |
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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 |
---|---|
Michelle E Misek Saub, ARNP Po Box 3755, Omaha, NE 68103-0755 Ph: (402) 354-2100 | Michelle E Misek Saub, ARNP 1 Edmundson Pl, Ste. 310, Council Bluffs, IA 51503-4658 Ph: (712) 396-4310 |
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 |