| Archwell Health Professional Services, P.a. | |
|
3501 S 84th St Omaha NE 68124-4056 | |
| (888) 987-1511 | |
| Not Available |
| Full Name | Archwell Health Professional Services, P.a. |
|---|---|
| Speciality | Internal Medicine |
| Location | 3501 S 84th St, Omaha, Nebraska |
| Authorized Official Name and Position | Lisa Lucas (CHIEF ADMINISTRATIVE OFFICER) |
| Authorized Official Contact | 6154199047 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Archwell Health Professional Services, P.a. 102 Woodmont Blvd Ste 600 Nashville TN 37205-5250 Ph: (888) 987-1151 | Archwell Health Professional Services, P.a. 3501 S 84th St Omaha NE 68124-4056 Ph: (888) 987-1511 |
| NPI Number | 1811695885 |
|---|---|
| Provider Enumeration Date | 02/20/2023 |
| Last Update Date | 03/13/2023 |
| Medicare PECOS PAC ID | 5395192629 |
|---|---|
| Medicare Enrollment ID | O20231108002388 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1811695885 | NPI | - | NPPES |
| Provider Name | Jacqueline Bernice Esch |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1215948591 PECOS PAC ID: 9335114867 Enrollment ID: I20040830000116 |
| Provider Name | Rachel Fortney |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1386989218 PECOS PAC ID: 5496991648 Enrollment ID: I20130415000201 |
| Provider Name | Adam P Vossen |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1497918726 PECOS PAC ID: 8426290305 Enrollment ID: I20130805000794 |
| Provider Name | Nicole L Burton |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1669921342 PECOS PAC ID: 6507144953 Enrollment ID: I20161107000115 |
| Provider Name | Amanda L Ball |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1104459924 PECOS PAC ID: 9436588662 Enrollment ID: I20210422002838 |
| Provider Name | Brooke M Sciuto |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1689992737 PECOS PAC ID: 1052633997 Enrollment ID: I20220301001542 |
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