| Alegent Health Quick Care Llc | |
|
3410 N 156th St Omaha NE 68116-2020 | |
| (888) 333-7520 | |
| (402) 614-5733 |
| Full Name | Alegent Health Quick Care Llc |
|---|---|
| Speciality | Family Medicine |
| Location | 3410 N 156th St, Omaha, Nebraska |
| Authorized Official Name and Position | Keith Jankuski (COO) |
| Authorized Official Contact | 4023434409 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Alegent Health Quick Care Llc 7261 Mercy Rd Attn: Credentialing Omaha NE 68124-2311 Ph: (402) 398-6255 | Alegent Health Quick Care Llc 3410 N 156th St Omaha NE 68116-2020 Ph: (888) 333-7520 |
| NPI Number | 1215066568 |
|---|---|
| Provider Enumeration Date | 03/04/2007 |
| Last Update Date | 04/03/2018 |
| Medicare PECOS PAC ID | 3476657370 |
|---|---|
| Medicare Enrollment ID | O20070403000169 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1215066568 | NPI | - | NPPES |
| Provider Name | Carolyn M Bevins |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1720443245 PECOS PAC ID: 6901105733 Enrollment ID: I20160429000980 |
| Provider Name | Elizabeth Jacobsma |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1013339738 PECOS PAC ID: 0446489231 Enrollment ID: I20160503000545 |
| Provider Name | Jessica L Palmer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1992173264 PECOS PAC ID: 1850671637 Enrollment ID: I20171010000444 |
| Provider Name | Markie Novotny |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1811563885 PECOS PAC ID: 7810392420 Enrollment ID: I20210819003058 |
| Provider Name | Nina Bouchard |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1649933672 PECOS PAC ID: 8022407519 Enrollment ID: I20211123001699 |
| Provider Name | Reina Griffith |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1336652874 PECOS PAC ID: 6507252467 Enrollment ID: I20220401002367 |
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