Nevada Medical Clinic | |
640 S 19th St Nevada IA 50201-2902 | |
(515) 382-5413 | |
(515) 382-7107 |
Full Name | Nevada Medical Clinic |
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Speciality | Family Medicine |
Location | 640 S 19th St, Nevada, Iowa |
Authorized Official Name and Position | Kemberlee S Packer (CREDENTIALING SPECIALIST) |
Authorized Official Contact | 5153827101 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Nevada Medical Clinic 640 S 19th St Nevada IA 50201-2902 Ph: (515) 382-5413 | Nevada Medical Clinic 640 S 19th St Nevada IA 50201-2902 Ph: (515) 382-5413 |
NPI Number | 1023080504 |
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Provider Enumeration Date | 02/07/2006 |
Last Update Date | 02/10/2017 |
Medicare PECOS PAC ID | 0547153884 |
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Medicare Enrollment ID | O20040204000957 |
Identifier | Type | State | Issuer |
---|---|---|---|
1023080504 | NPI | - | NPPES |
48680 | Other | IA | WELLMARK BCBS |
0251553 | Medicaid | IA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | (* (Not Available)) | Primary |
Provider Name | Arthur P Check |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1760455323 PECOS PAC ID: 2062494750 Enrollment ID: I20040605000280 |
Provider Name | Gautam Kakade |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1992777049 PECOS PAC ID: 7113952847 Enrollment ID: I20051001000035 |
Provider Name | Kelly L Check |
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Provider Type | Practitioner - Podiatry |
Provider Identifiers | NPI Number: 1114991262 PECOS PAC ID: 4587673025 Enrollment ID: I20060412000093 |
Provider Name | Matthew L Hill |
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Provider Type | Practitioner - Medical Oncology |
Provider Identifiers | NPI Number: 1053361972 PECOS PAC ID: 2466462908 Enrollment ID: I20060428000253 |
Provider Name | Yulia Johnson |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1437182706 PECOS PAC ID: 7012913528 Enrollment ID: I20061005000498 |
Provider Name | Dennis A Whitmer |
---|---|
Provider Type | Practitioner - General Surgery |
Provider Identifiers | NPI Number: 1124134846 PECOS PAC ID: 5395747224 Enrollment ID: I20070206000598 |
Provider Name | Stefanie S Gatica |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1093732828 PECOS PAC ID: 2961505946 Enrollment ID: I20070312000539 |
Provider Name | Jill Marion Konfrst |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1801893250 PECOS PAC ID: 7618055898 Enrollment ID: I20080429000543 |
Provider Name | Warren H Phillips |
---|---|
Provider Type | Practitioner - Clinical Psychologist |
Provider Identifiers | NPI Number: 1083705917 PECOS PAC ID: 3971505959 Enrollment ID: I20080512000614 |
Provider Name | William K Barnhill |
---|---|
Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
Provider Identifiers | NPI Number: 1710962519 PECOS PAC ID: 9436041068 Enrollment ID: I20090506000283 |
Provider Name | Michele Ann Tingle |
---|---|
Provider Type | Practitioner - Emergency Medicine |
Provider Identifiers | NPI Number: 1689769432 PECOS PAC ID: 6406909571 Enrollment ID: I20090806000691 |
Provider Name | Erin N Nelson |
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Provider Type | Practitioner - Podiatry |
Provider Identifiers | NPI Number: 1336255025 PECOS PAC ID: 8729132758 Enrollment ID: I20090811000062 |
Provider Name | Adrian L Palar |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1952374811 PECOS PAC ID: 0143376921 Enrollment ID: I20090921000003 |
Provider Name | Stephen R Eckstat |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1053322263 PECOS PAC ID: 9739266917 Enrollment ID: I20100119000302 |
Provider Name | Timothy G Leeds |
---|---|
Provider Type | Practitioner - Obstetrics/gynecology |
Provider Identifiers | NPI Number: 1386644227 PECOS PAC ID: 8426948852 Enrollment ID: I20100320000151 |
Provider Name | Matthew P Mccormick |
---|---|
Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
Provider Identifiers | NPI Number: 1922121953 PECOS PAC ID: 3779761150 Enrollment ID: I20110707000509 |
Provider Name | Curtis P Oloughlin |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1134389307 PECOS PAC ID: 6305018847 Enrollment ID: I20111005000874 |
Provider Name | Elizabeth N Cain |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1326327438 PECOS PAC ID: 9830366137 Enrollment ID: I20120126000473 |
Provider Name | Trevor Lynn Bond |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1811212202 PECOS PAC ID: 4082867346 Enrollment ID: I20130221000139 |
Provider Name | Darci K Fuller |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1770830093 PECOS PAC ID: 6305091349 Enrollment ID: I20130225000141 |
Provider Name | Kelli M Holland |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1548660798 PECOS PAC ID: 7810213790 Enrollment ID: I20150312000887 |
Provider Name | Phillip R Hurd |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1194054312 PECOS PAC ID: 1759423312 Enrollment ID: I20150403000429 |
Provider Name | Cindy S Taylor |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1457774697 PECOS PAC ID: 5890008155 Enrollment ID: I20150716001038 |
Provider Name | Gabriel I Anders |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1710392162 PECOS PAC ID: 3072739093 Enrollment ID: I20160111002166 |
Provider Name | Tessa M Sandel |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1881053270 PECOS PAC ID: 0547568560 Enrollment ID: I20160407000917 |
Provider Name | Elizabeth A Cox |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1952672172 PECOS PAC ID: 1456650662 Enrollment ID: I20160421002191 |
Provider Name | Melissa A Merritt |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1447659685 PECOS PAC ID: 6901026335 Enrollment ID: I20160927000189 |
Provider Name | Audra L Poterucha |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1033569223 PECOS PAC ID: 2567754955 Enrollment ID: I20170921001597 |
Provider Name | Suzanne M Avila |
---|---|
Provider Type | Practitioner - Plastic And Reconstructive Surgery |
Provider Identifiers | NPI Number: 1124252770 PECOS PAC ID: 1052537032 Enrollment ID: I20171128002284 |
Provider Name | Richard Y Jacobson |
---|---|
Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
Provider Identifiers | NPI Number: 1023042686 PECOS PAC ID: 7810097045 Enrollment ID: I20180417001153 |
Provider Name | Rommel I Asagwara |
---|---|
Provider Type | Practitioner - Emergency Medicine |
Provider Identifiers | NPI Number: 1679935381 PECOS PAC ID: 3375830169 Enrollment ID: I20181129001454 |
Provider Name | Keegan Tucker Overbey |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1942775754 PECOS PAC ID: 6002151321 Enrollment ID: I20181214000656 |
Provider Name | Damiun Bassandeh |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1417251232 PECOS PAC ID: 8325291297 Enrollment ID: I20190121000113 |
Provider Name | Adam B Dobbins |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1407286438 PECOS PAC ID: 7618106857 Enrollment ID: I20190603000393 |
Provider Name | Bethany J Woods |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1356982441 PECOS PAC ID: 9931531464 Enrollment ID: I20191121000510 |
Provider Name | Aaron D Glenn |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1972061612 PECOS PAC ID: 8123450582 Enrollment ID: I20200714002099 |
Provider Name | Sarah E Schuller |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1407463292 PECOS PAC ID: 6608289137 Enrollment ID: I20201230001572 |
Provider Name | Stephanie A Gorsuch |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1942975578 PECOS PAC ID: 2668870734 Enrollment ID: I20211005001421 |
Provider Name | Daniel L Bench |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1598156416 PECOS PAC ID: 4688992902 Enrollment ID: I20220628000697 |
Provider Name | Jena J Weissenburger |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1063198760 PECOS PAC ID: 2062874639 Enrollment ID: I20230814002308 |
Carleton Family Medicine, Pllc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1011 6th St, Nevada, IA 50201 Phone: 515-231-3159 Fax: 314-770-6046 | |
Story Medical Clinic - Nevada Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 640 S 19th St Ste 100, Nevada, IA 50201 Phone: 515-382-5413 Fax: 515-382-7107 |