| Td Nurse Practitioner Services, Llc | |
|
4972 County Road 38 Fort Calhoun NE 68023-5054 | |
| (402) 641-8822 | |
| Not Available |
| Full Name | Td Nurse Practitioner Services, Llc |
|---|---|
| Speciality | Clinic/Center |
| Location | 4972 County Road 38, Fort Calhoun, Nebraska |
| Authorized Official Name and Position | Teresa Ann-roth Dowling (OWNER/NURSE PRACTITIONER) |
| Authorized Official Contact | 4026418822 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Td Nurse Practitioner Services, Llc 4972 County Road 38 Fort Calhoun NE 68023-5054 Ph: (402) 641-8822 | Td Nurse Practitioner Services, Llc 4972 County Road 38 Fort Calhoun NE 68023-5054 Ph: (402) 641-8822 |
| NPI Number | 1942907399 |
|---|---|
| Provider Enumeration Date | 02/15/2023 |
| Last Update Date | 02/23/2023 |
| Medicare PECOS PAC ID | 5991178352 |
|---|---|
| Medicare Enrollment ID | O20230306001010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1942907399 | NPI | - | NPPES |
| 10027821400 | Medicaid | NE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (* (Not Available)) | Primary |
| Provider Name | Teresa Ann-roth Dowling |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1205169273 PECOS PAC ID: 2365580339 Enrollment ID: I20230306001101 |
Fort Calhoun Clinic Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 4929 County Road P43, Fort Calhoun, NE 68023 Phone: 402-468-4655 Fax: 402-468-4633 |