Midwest Nutrition, Pllc in Council Bluffs, IA

Midwest Nutrition, Pllc is a medicare enrolled primary clinic (Clinic/center) in Council Bluffs, Iowa. The current practice location for Midwest Nutrition, Pllc is 103 North Ave Ste 8, Council Bluffs, Iowa. For appointments, you can reach them via phone at (662) 322-9037. The mailing address for Midwest Nutrition, Pllc is 8169 S 185th St, Omaha, Nebraska and phone number is (662) 322-9037.

Midwest Nutrition, Pllc is licensed to practice in * (Not Available) (license number ). The clinic also participates in the medicare program and its NPI number is 1124879788. This medical practice accepts medicare insurance (which means this clinic accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance). However, please confirm if they accept your insurance at (662) 322-9037.

Contact Information

	Midwest Nutrition, Pllc
	103 North Ave Ste 8 Council Bluffs IA 51503-1613
	(662) 322-9037
	Not Available

Map and Direction

Primary Care Clinic Profile

Full Name	Midwest Nutrition, Pllc
Speciality	Clinic/Center
Location	103 North Ave Ste 8, Council Bluffs, Iowa
Authorized Official Name and Position	Whitney Black (OWNER)
Authorized Official Contact	6623229037
Accepts Medicare Insurance	Yes. This clinic participates in medicare program and accept medicare insurance.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Midwest Nutrition, Pllc 8169 S 185th St Omaha NE 68136-6451 Ph: (662) 322-9037	Midwest Nutrition, Pllc 103 North Ave Ste 8 Council Bluffs IA 51503-1613 Ph: (662) 322-9037

NPI Details:

NPI Number	1124879788
Provider Enumeration Date	04/01/2024
Last Update Date	04/01/2024

Medicare PECOS Information:

Medicare PECOS PAC ID	0648715540
Medicare Enrollment ID	O20240716001966

Medical Identifiers

Medical identifiers for Midwest Nutrition, Pllc such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1124879788	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
261Q00000X	Clinic/center	(* (Not Available))	Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Midwest Nutrition, Pllc acts as a billing entity for following providers:

Provider Name	Whitney Black
Provider Type	Practitioner - Registered Dietitian Or Nutrition Professional
Provider Identifiers	NPI Number: 1629689989 PECOS PAC ID: 1557806452 Enrollment ID: I20240716002348

Reviews and Comments

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Midwest Nutrition, Pllc - Medicare Primary Care in Council Bluffs, IA