Sumner Community Club - Medicare in Sumner, IA

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Sumner Community Club is a medicare enrolled "General Acute Care Hospital - Critical Access" provider in Sumner, Iowa. Their current practice location is 909 W 1st St, Sumner, Iowa. You can reach out to their office (for appointments etc.) via phone at (563) 578-3275.

Sumner Community Club is licensed to practice in Iowa (license number 090086H) and it also participates in the medicare program. Sumner Community Club is enrolled with medicare and should accept medicare assignments and since they are enrolled in medicare, they may order Medicare Part D Prescription drugs, if eligible. The facility's NPI Number is 1780684548.

Contact Information

Sumner Community Club
909 W 1st St,
Sumner, IA 50674-1203
(563) 578-3275
(563) 578-3279

Map and Direction




Healthcare Provider's Profile

Full NameSumner Community Club
TypeFacility
SpecialityGeneral Acute Care Hospital - Critical Access
Location909 W 1st St, Sumner, Iowa
Accepts Medicare AssignmentsMedicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1780684548
  • Provider Enumeration Date: 07/22/2005
  • Last Update Date: 07/31/2015
  Medicare PECOS Information:
  • PECOS PAC ID: 5890607691
  • Enrollment ID: O20061104000206

Medical Identifiers

Medical identifiers for Sumner Community Club such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1780684548NPI-NPPES
A5067404OtherIAJOHN DEERE
0601385OtherIATITLE XIX
60138OtherIABLUE CROSS (ACUTE)
6230725OtherIAAETNA

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
133V00000XDietitian, Registered (* (Not Available))Secondary
207P00000XEmergency Medicine (* (Not Available))Secondary
207Q00000XFamily Medicine (* (Not Available))Secondary
363L00000XNurse Practitioner (* (Not Available))Secondary
367500000XNurse Anesthetist, Certified Registered (* (Not Available))Secondary
282NC0060XGeneral Acute Care Hospital - Critical Access 090086H (Iowa)Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Sumner Community Club acts as a billing entity for following providers:
Provider NameMark G Odden
Provider TypePractitioner - Certified Registered Nurse Anesthetist (crna)
Provider IdentifiersNPI Number: 1528022993
PECOS PAC ID: 4880582600
Enrollment ID: I20040304000924
Provider NameGary L Jennett
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1982693941
PECOS PAC ID: 1355338161
Enrollment ID: I20040426000978
Provider NameStephen J Goldman
Provider TypePractitioner - Emergency Medicine
Provider IdentifiersNPI Number: 1750368528
PECOS PAC ID: 0143201483
Enrollment ID: I20040525000261
Provider NameAndrea L Venteicher
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1902896046
PECOS PAC ID: 8224054440
Enrollment ID: I20051018000289
Provider NameJennifer M Edeker
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1790718302
PECOS PAC ID: 7911921507
Enrollment ID: I20060123000416
Provider NameLucas J Brinkman
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1811003031
PECOS PAC ID: 0446341887
Enrollment ID: I20070814000431
Provider NameBrian D Gerrelts
Provider TypePractitioner - General Surgery
Provider IdentifiersNPI Number: 1003869397
PECOS PAC ID: 5092866848
Enrollment ID: I20090708000051
Provider NameRobin E Howe
Provider TypePractitioner - Certified Registered Nurse Anesthetist (crna)
Provider IdentifiersNPI Number: 1689774077
PECOS PAC ID: 4284641077
Enrollment ID: I20100628000388
Provider NameDaniel Mcquillen
Provider TypePractitioner - Emergency Medicine
Provider IdentifiersNPI Number: 1972723955
PECOS PAC ID: 6507937885
Enrollment ID: I20100709000392
Provider NameScott J Chastek
Provider TypePractitioner - Certified Registered Nurse Anesthetist (crna)
Provider IdentifiersNPI Number: 1487701652
PECOS PAC ID: 2062512171
Enrollment ID: I20110215000922
Provider NameMichael L Burns
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1336219112
PECOS PAC ID: 8921276262
Enrollment ID: I20110712000703
Provider NameLonny Dean Miller
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1255568119
PECOS PAC ID: 5395993687
Enrollment ID: I20120911000564
Provider NameCamille M Gipson
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1275888695
PECOS PAC ID: 2961650007
Enrollment ID: I20120914000761
Provider NameLee R Bules
Provider TypePractitioner - Emergency Medicine
Provider IdentifiersNPI Number: 1427015320
PECOS PAC ID: 9739243916
Enrollment ID: I20140218001335
Provider NameLisa N Ruckman
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1538480660
PECOS PAC ID: 9436389103
Enrollment ID: I20140224001981
Provider NameSpencer Kay Kleitsch
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1568870566
PECOS PAC ID: 7315269727
Enrollment ID: I20141212001747
Provider NameHeather R Burgett
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1881083889
PECOS PAC ID: 3375869555
Enrollment ID: I20150305001555
Provider NameMichael S Telisak
Provider TypePractitioner - Otolaryngology
Provider IdentifiersNPI Number: 1144439548
PECOS PAC ID: 0042364390
Enrollment ID: I20160215001224
Provider NameShanna R Elliott
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1629458302
PECOS PAC ID: 0042526360
Enrollment ID: I20160811000350
Provider NameKrista R Begalske
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1881128783
PECOS PAC ID: 7214204338
Enrollment ID: I20170522000247
Provider NameShawn C Blake
Provider TypePractitioner - Certified Registered Nurse Anesthetist (crna)
Provider IdentifiersNPI Number: 1821475849
PECOS PAC ID: 9830461359
Enrollment ID: I20170817004188
Provider NameDanny Lewis
Provider TypePractitioner - Emergency Medicine
Provider IdentifiersNPI Number: 1235580366
PECOS PAC ID: 2668765132
Enrollment ID: I20170914000602
Provider NameLori R Vlazny
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1255850970
PECOS PAC ID: 0244598944
Enrollment ID: I20180102001075
Provider NameConstance Morrison
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1801014337
PECOS PAC ID: 6103926274
Enrollment ID: I20180511000955
Provider NameBenjamin A Levinson
Provider TypePractitioner - Certified Registered Nurse Anesthetist (crna)
Provider IdentifiersNPI Number: 1205298668
PECOS PAC ID: 0446508956
Enrollment ID: I20180731001885
Provider NameAlex S Farrell
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1043611023
PECOS PAC ID: 9032432075
Enrollment ID: I20190617002216
Provider NameTravis White
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1003039892
PECOS PAC ID: 7517067010
Enrollment ID: I20200717000084
Provider NameDaniel J Schnadt
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1508423344
PECOS PAC ID: 1254666712
Enrollment ID: I20201016002513
Provider NameAnne M Meyer-mccright
Provider TypePractitioner - Certified Registered Nurse Anesthetist (crna)
Provider IdentifiersNPI Number: 1154490837
PECOS PAC ID: 4981676830
Enrollment ID: I20201214001408
Provider NameGriffin S Kopp
Provider TypePractitioner - Certified Registered Nurse Anesthetist (crna)
Provider IdentifiersNPI Number: 1073120754
PECOS PAC ID: 7315351566
Enrollment ID: I20210128002502
Provider NameAnthony Robert Greenwood
Provider TypePractitioner - Certified Registered Nurse Anesthetist (crna)
Provider IdentifiersNPI Number: 1811504590
PECOS PAC ID: 1254745417
Enrollment ID: I20210128002887
Provider NameJonathan Robert Lang
Provider TypePractitioner - Certified Registered Nurse Anesthetist (crna)
Provider IdentifiersNPI Number: 1790349157
PECOS PAC ID: 0244630044
Enrollment ID: I20210616001499
Provider NameIsaac A Butler
Provider TypePractitioner - Certified Registered Nurse Anesthetist (crna)
Provider IdentifiersNPI Number: 1003470451
PECOS PAC ID: 9739580150
Enrollment ID: I20210623001204
Provider NameGiselle J Tan
Provider TypePractitioner - Orthopedic Surgery
Provider IdentifiersNPI Number: 1134345580
PECOS PAC ID: 9638208614
Enrollment ID: I20211025000787
Provider NameKavan Girishbhai Patel
Provider TypePractitioner - Gastroenterology
Provider IdentifiersNPI Number: 1437541406
PECOS PAC ID: 2769737337
Enrollment ID: I20211104001561
Provider NameKayln Marie Boge-kleiss
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1649930066
PECOS PAC ID: 6204229628
Enrollment ID: I20220208001358
Provider NameJames Oliver Cody
Provider TypePractitioner - Certified Registered Nurse Anesthetist (crna)
Provider IdentifiersNPI Number: 1033834569
PECOS PAC ID: 7810368024
Enrollment ID: I20230126002224
Provider NameSabrina Provvidenza Vitale-d'angelo
Provider TypePractitioner - Certified Registered Nurse Anesthetist (crna)
Provider IdentifiersNPI Number: 1962088104
PECOS PAC ID: 9335502061
Enrollment ID: I20230829002347
Provider NameMatthew K Bodine
Provider TypePractitioner - Certified Registered Nurse Anesthetist (crna)
Provider IdentifiersNPI Number: 1295519072
PECOS PAC ID: 9436503067
Enrollment ID: I20230929001703
Provider NameTravis D Rath
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1386265734
PECOS PAC ID: 9234555384
Enrollment ID: I20231017000769
Provider NameSunbir Gill
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1548821424
PECOS PAC ID: 6608227228
Enrollment ID: I20240109000575
Provider NameSeth Nicolas Additon
Provider TypePractitioner - Certified Registered Nurse Anesthetist (crna)
Provider IdentifiersNPI Number: 1336848282
PECOS PAC ID: 0648621995
Enrollment ID: I20240110004816
Provider NameMegan E Jasnowski
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1649983511
PECOS PAC ID: 4688015878
Enrollment ID: I20240520001015

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Sumner Community Club is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Sumner Community Club
Po Box 148,
Sumner, IA 50674-0148

Ph: (563) 578-3275		Sumner Community Club
909 W 1st St,
Sumner, IA 50674-1203

Ph: (563) 578-3275

Reviews and Comments



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.