| Heartland Family Service | |
|
2101 S 42nd St Omaha NE 68105-2947 | |
| (402) 553-3000 | |
| (402) 553-3133 |
| Full Name | Heartland Family Service |
|---|---|
| Speciality | Clinic/Center |
| Location | 2101 S 42nd St, Omaha, Nebraska |
| Authorized Official Name and Position | John Jeanetta (PRESIDENT/CEO) |
| Authorized Official Contact | 4025527402 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Heartland Family Service 2101 S 42nd St Omaha NE 68105 Ph: (402) 553-3000 | Heartland Family Service 2101 S 42nd St Omaha NE 68105-2947 Ph: (402) 553-3000 |
| NPI Number | 1891788048 |
|---|---|
| Provider Enumeration Date | 08/23/2005 |
| Last Update Date | 09/01/2010 |
| Medicare PECOS PAC ID | 7315833506 |
|---|---|
| Medicare Enrollment ID | O20040225000174 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1891788048 | NPI | - | NPPES |
| 086011 | Other | NE | MEDICARE ID-TYE UNSPECIFI |
| Provider Name | Michael Lee Coy |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1124152780 PECOS PAC ID: 4082655055 Enrollment ID: I20050519000742 |
| Provider Name | Terry M Ideker |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1326227224 PECOS PAC ID: 2264590843 Enrollment ID: I20081027000286 |
| Provider Name | Donna Lenz |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1417237611 PECOS PAC ID: 0547403958 Enrollment ID: I20130904000954 |
| Provider Name | Stephanie R Gray |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1598786097 PECOS PAC ID: 2466426697 Enrollment ID: I20141126001237 |
| Provider Name | Terry E Stewart-deseck |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1851350904 PECOS PAC ID: 6608819941 Enrollment ID: I20150128000790 |
| Provider Name | Paul M Wilken |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1427579374 PECOS PAC ID: 0446523591 Enrollment ID: I20170912001043 |
| Provider Name | Alyssa Hickert |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1164874095 PECOS PAC ID: 3274895966 Enrollment ID: I20180316000172 |
| Provider Name | Jonnae Luck |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1720445208 PECOS PAC ID: 7517209802 Enrollment ID: I20190507002586 |
| Provider Name | Paige Seier |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1801331525 PECOS PAC ID: 9335488683 Enrollment ID: I20190520000578 |
| Provider Name | Mary Royer |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1578010542 PECOS PAC ID: 6103214184 Enrollment ID: I20211025000752 |
| Provider Name | Alfred Ongesa |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1013688530 PECOS PAC ID: 2163810151 Enrollment ID: I20211130003030 |
| Provider Name | Erica L Irwin |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1811683659 PECOS PAC ID: 9739549585 Enrollment ID: I20230712002594 |
| Provider Name | Gerardo Guerrero-segura |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1417637893 PECOS PAC ID: 0446613103 Enrollment ID: I20230919002024 |
| Provider Name | Ashley Schrad |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1962864173 PECOS PAC ID: 4587106091 Enrollment ID: I20240611003406 |
| Provider Name | Jennifer Stewart |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1033477120 PECOS PAC ID: 7719410034 Enrollment ID: I20241024004452 |
| Provider Name | Lacey Hobus |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1013366178 PECOS PAC ID: 4981137197 Enrollment ID: I20241026000289 |
| Provider Name | Brian Heidvogel |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1033678693 PECOS PAC ID: 3779016829 Enrollment ID: I20241028001659 |
| Provider Name | Caitlin Schult |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1417509621 PECOS PAC ID: 8022541093 Enrollment ID: I20241029003449 |
| Provider Name | Natasha Walsh |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1861787509 PECOS PAC ID: 0749714830 Enrollment ID: I20241112002885 |
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