| Hy-vee Health Pc | |
|
11837 Miracle Hills Dr Ste 100 Omaha NE 68154-4418 | |
| (515) 225-2930 | |
| (515) 559-2494 |
| Full Name | Hy-vee Health Pc |
|---|---|
| Speciality | Internal Medicine |
| Location | 11837 Miracle Hills Dr Ste 100, Omaha, Nebraska |
| Authorized Official Name and Position | Daniel S Fick (OWNER) |
| Authorized Official Contact | 5152214663 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Hy-vee Health Pc 5820 Westown Pkwy West Des Moines IA 50266-8223 Ph: (515) 225-2930 | Hy-vee Health Pc 11837 Miracle Hills Dr Ste 100 Omaha NE 68154-4418 Ph: (515) 225-2930 |
| NPI Number | 1184498990 |
|---|---|
| Provider Enumeration Date | 11/13/2023 |
| Last Update Date | 11/13/2023 |
| Medicare PECOS PAC ID | 1254701618 |
|---|---|
| Medicare Enrollment ID | O20231211001632 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1184498990 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| Provider Name | Amanda Jochum |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1215188131 PECOS PAC ID: 7618032038 Enrollment ID: I20090219000217 |
| Provider Name | Shelly L Asplin |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1073769014 PECOS PAC ID: 0042360166 Enrollment ID: I20090611000469 |
| Provider Name | Jennifer Dunavan |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1295171064 PECOS PAC ID: 5698998383 Enrollment ID: I20140528000285 |
| Provider Name | Megan L Hall |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1033458989 PECOS PAC ID: 3274750989 Enrollment ID: I20140804000846 |
| Provider Name | Laura A Johansen |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1437561511 PECOS PAC ID: 5698993285 Enrollment ID: I20140822001639 |
| Provider Name | Leigh Healey |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1932584323 PECOS PAC ID: 1153742887 Enrollment ID: I20200604000129 |
| Provider Name | Daniel Fick |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1457347049 PECOS PAC ID: 3779662168 Enrollment ID: I20231211001717 |
| Provider Name | Heather Miller |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1699547026 PECOS PAC ID: 7618317686 Enrollment ID: I20240425000336 |
| Provider Name | Kaiti George |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1144640400 PECOS PAC ID: 5496197014 Enrollment ID: I20240529001018 |
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