- Medicare Primary Care in South Sioux City, NE

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is a medicare enrolled primary clinic (Family Medicine) in South Sioux City, Nebraska. The current practice location for is 501 1st Ave, South Sioux City, Nebraska. For appointments, you can reach them via phone at (402) 494-3064. The mailing address for is Po Box 328, Sioux City, Iowa and phone number is (712) 279-5830.

is licensed to practice in * (Not Available) (license number ). The clinic also participates in the medicare program and its NPI number is 1043251754. 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 (402) 494-3064.

Contact Information

501 1st Ave
South Sioux City
NE 68776-1703
(402) 494-3064
(402) 494-2656

Map and Direction


Primary Care Clinic Profile

Full Name
SpecialityFamily Medicine
Location501 1st Ave, South Sioux City, Nebraska
Authorized Official Name and PositionJesica Hanson (VP FINANCE)
Authorized Official Contact7122795850
Accepts Medicare InsuranceYes. This clinic participates in medicare program and accept medicare insurance.

Mailing Address and Practice Location

Mailing AddressPractice Location Address

Po Box 328
Sioux City
IA 51102-0328

Ph: (712) 279-5830
501 1st Ave
South Sioux City
NE 68776-1703

Ph: (402) 494-3064

NPI Details:

NPI Number1043251754
Provider Enumeration Date06/10/2006
Last Update Date10/18/2024

Medicare PECOS Information:

Medicare PECOS PAC ID5799694063
Medicare Enrollment IDO20041007000519

Medical Identifiers

Medical identifiers for such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1043251754NPI-NPPES
PENDINGOtherNEWELLMARK BCBS IA GROUP NU

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207Q00000XFamily Medicine (* (Not Available))Primary
363AM0700XPhysician Assistant - Medical (* (Not Available))Secondary
363LF0000XNurse Practitioner - Family (* (Not Available))Secondary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. acts as a billing entity for following providers:
Provider NameSuhair Afana Najdawi
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1316985534
PECOS PAC ID: 7113984428
Enrollment ID: I20041217000274
Provider NameDavid J Ensz
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1124245899
PECOS PAC ID: 8022114263
Enrollment ID: I20070503000511
Provider NameSteven F Gordon
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1700847365
PECOS PAC ID: 1153451380
Enrollment ID: I20160808002200
Provider NameMir Subla
Provider TypePractitioner - Interventional Cardiology
Provider IdentifiersNPI Number: 1871577379
PECOS PAC ID: 7618881251
Enrollment ID: I20220912002676
Provider NameIfan Chen
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1346235199
PECOS PAC ID: 4981889250
Enrollment ID: I20230112000925
Provider NameMaha Elgawly
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1881271724
PECOS PAC ID: 5496156754
Enrollment ID: I20241205002844

Reviews and Comments


Family Medicine in South Sioux City, NE


Primary Care Clinic
Medicare: Medicare Enrolled
Practice Location: 3410 Futures Dr, South Sioux City, NE 68776
Phone: 712-252-2477    

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.