Sumner Community Club - Medicare Mental Health Clinic in Sumner, IA

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Sumner Community Club is a medicare enrolled mental health clinic (Family Medicine) in Sumner, Iowa. The current practice location for Sumner Community Club is 909 W 1st St, Sumner, Iowa. For appointments, you can reach them via phone at (563) 578-5375. The mailing address for Sumner Community Club is Po Box 148, Sumner, Iowa and phone number is (563) 578-5375.

Sumner Community Club is licensed to practice in * (Not Available) (license number ). The clinic also participates in the medicare program and its NPI number is 1801818661. 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 (563) 578-5375.

Contact Information

Sumner Community Club
909 W 1st St
Sumner
IA 50674-1203
(563) 578-5375
(563) 578-5437

Map and Direction


Mental Health Clinic Profile

Full NameSumner Community Club
SpecialityFamily Medicine
Location909 W 1st St, Sumner, Iowa
Authorized Official Name and PositionDawn Diane Everding (CHIEF FINANCIAL OFFICER)
Authorized Official Contact5635783275
Accepts Medicare InsuranceYes. This clinic participates in medicare program and accept medicare insurance.

Mailing Address and Practice Location

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

Ph: (563) 578-5375		Sumner Community Club
909 W 1st St
Sumner
IA 50674-1203

Ph: (563) 578-5375

NPI Details:

NPI Number1801818661
Provider Enumeration Date07/24/2006
Last Update Date04/22/2025
Certification Date04/22/2025

Medicare PECOS Information:

Medicare PECOS PAC ID5890607691
Medicare Enrollment IDO20040109000930

Medical Identifiers

Medical identifiers for Sumner Community Club such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1801818661NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
101YM0800XCounselor - Mental Health (* (Not Available))Secondary
207P00000XEmergency Medicine (* (Not Available))Secondary
207Q00000XFamily Medicine (* (Not Available))Primary
363L00000XNurse Practitioner (* (Not Available))Secondary
367500000XNurse Anesthetist, Certified Registered (* (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. Sumner Community Club acts as a billing entity for following providers:
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 NameJustin D Trainor
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1487714895
PECOS PAC ID: 5597823724
Enrollment ID: I20081016000569
Provider NameRobin E Howe
Provider TypePractitioner - Certified Registered Nurse Anesthetist (crna)
Provider IdentifiersNPI Number: 1689774077
PECOS PAC ID: 4284641077
Enrollment ID: I20100628000388
Provider NameJeffrey R Roske
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1396056073
PECOS PAC ID: 5991829582
Enrollment ID: I20100903000234
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 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 NameLori R Vlazny
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1255850970
PECOS PAC ID: 0244598944
Enrollment ID: I20180102001075
Provider NameAlex S Farrell
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1043611023
PECOS PAC ID: 9032432075
Enrollment ID: I20190617002216
Provider NameDaniel J Schnadt
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1508423344
PECOS PAC ID: 1254666712
Enrollment ID: I20201016002513
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 NameIsaac A Butler
Provider TypePractitioner - Certified Registered Nurse Anesthetist (crna)
Provider IdentifiersNPI Number: 1003470451
PECOS PAC ID: 9739580150
Enrollment ID: I20210623001204
Provider NameAnn M Bock
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1154939965
PECOS PAC ID: 0547666174
Enrollment ID: I20210908001080
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 NameTravis R Schulze
Provider TypePractitioner - Certified Registered Nurse Anesthetist (crna)
Provider IdentifiersNPI Number: 1073248951
PECOS PAC ID: 7618330606
Enrollment ID: I20230823003048
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 NameAubrey Jane Klosterman
Provider TypePractitioner - Mental Health Counselor
Provider IdentifiersNPI Number: 1417479916
PECOS PAC ID: 8820440423
Enrollment ID: I20240119000271
Provider NameMegan E Jasnowski
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1649983511
PECOS PAC ID: 4688015878
Enrollment ID: I20240520001015
Provider NameJessica Zmoos
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1518516376
PECOS PAC ID: 4385186055
Enrollment ID: I20240610001441
Provider NameAllysan R Suckow
Provider TypePractitioner - Occupational Therapist In Private Practice
Provider IdentifiersNPI Number: 1265991749
PECOS PAC ID: 8527505973
Enrollment ID: I20240802000224

Reviews and Comments

Family Medicine in Sumner, IA

Serenity Counseling Wellness, Llc
Mental Health Clinic
Medicare: Not Enrolled in Medicare
Practice Location: 104 W 2nd St, Sumner, IA 50674
Phone: 319-481-2296    
Kelly D Shea Inc.
Mental Health Clinic
Medicare: Not Enrolled in Medicare
Practice Location: 515 N Railroad St, Sumner, IA 50674
Phone: 641-373-1375    

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.