Avera Medical Group Creighton | |
1503 Main St Creighton NE 68729-3019 | |
(402) 358-5700 | |
(402) 358-5769 |
Full Name | Avera Medical Group Creighton |
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Speciality | Family Medicine |
Location | 1503 Main St, Creighton, Nebraska |
Authorized Official Name and Position | Douglas Ekeren (PRESIDENT/CEO) |
Authorized Official Contact | 6056688321 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Avera Medical Group Creighton Po Box 86370 Sioux Falls SD 57118-6370 Ph: (605) 322-4933 | Avera Medical Group Creighton 1503 Main St Creighton NE 68729-3019 Ph: (402) 358-5700 |
NPI Number | 1083918171 |
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Provider Enumeration Date | 01/04/2011 |
Last Update Date | 04/24/2023 |
Medicare PECOS PAC ID | 6103729066 |
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Medicare Enrollment ID | O20110321000687 |
Identifier | Type | State | Issuer |
---|---|---|---|
1083918171 | NPI | - | NPPES |
NA1830 | Other | NE | MEDICARE |
Provider Name | Brandon M Jahnke |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1790893931 PECOS PAC ID: 4880662238 Enrollment ID: I20070226000315 |
Provider Name | Ronald P Morse |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1174617294 PECOS PAC ID: 7012964588 Enrollment ID: I20080422000705 |
Provider Name | Riley D Eckmann |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1447487129 PECOS PAC ID: 2668631268 Enrollment ID: I20120316000217 |
Provider Name | Christine L Wiarda |
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Provider Type | Practitioner - Podiatry |
Provider Identifiers | NPI Number: 1417273509 PECOS PAC ID: 0345476974 Enrollment ID: I20140314001888 |
Provider Name | Theresa C Hansen |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1588021919 PECOS PAC ID: 6507162948 Enrollment ID: I20160310000448 |
Provider Name | Adam Strehle |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1689055394 PECOS PAC ID: 6406163880 Enrollment ID: I20180815000454 |
Provider Name | Angela M Ling |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1952791725 PECOS PAC ID: 2062756216 Enrollment ID: I20181129001501 |
Provider Name | Darian Nordhues |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1255979209 PECOS PAC ID: 7416383153 Enrollment ID: I20200129000196 |
Provider Name | Jacqueline M Stanzel |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1104465491 PECOS PAC ID: 4688001464 Enrollment ID: I20200218001280 |
Provider Name | Sydney A Guenther |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1093442725 PECOS PAC ID: 6800263542 Enrollment ID: I20221109000681 |
Provider Name | Ryan J Becker |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1336431055 PECOS PAC ID: 6305089673 Enrollment ID: I20230313002293 |
Provider Name | Kendra E Mitteis |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1306544465 PECOS PAC ID: 7618341504 Enrollment ID: I20230315002511 |
Douglas M Laflan Md Pc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 804 Chase Ave, Creighton, NE 68729 Phone: 402-358-5335 Fax: 402-358-3598 | |
Avera Medical Group Laflan Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 804 Chase Ave, Creighton, NE 68729 Phone: 402-358-5335 Fax: 402-358-3598 | |
Laflan Medical Clinic, Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 804 Chase Ave, Creighton, NE 68729 Phone: 402-358-5335 Fax: 402-358-3598 | |
Creighton Area Health Services Professional Services Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1503 Main St, Creighton, NE 68729 Phone: 402-358-5700 Fax: 402-358-5769 |