| Pamela A Hetzel, DNP | |
|
103 North Ave Ste 8, Council Bluffs, IA 51503 | |
| (712) 796-2545 | |
| Not Available |
| Full Name | Pamela A Hetzel |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Experience | 4 Years |
| Location | 103 North Ave Ste 8, Council Bluffs, Iowa |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1902644685 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LA2100X | Nurse Practitioner - Acute Care | 113960 (Nebraska) | Secondary |
| 363LA2100X | Nurse Practitioner - Acute Care | H165041 (Iowa) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Chi Health Mercy Council Bluffs | Council bluffs, IA | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Advanced Kidney Care, Pllc | 2769830082 | 2 |
| Advanced Kidney Care, Pllc | 2769830082 | 2 |
| Entity Name | Advanced Kidney Care, Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1154193712 PECOS PAC ID: 2769830082 Enrollment ID: O20231128001490 |
| Mailing Address | Practice Location Address |
|---|---|
| Pamela A Hetzel, DNP 103 North Ave Ste 8, Council Bluffs, IA 51503 Ph: (712) 796-2545 | Pamela A Hetzel, DNP 103 North Ave Ste 8, Council Bluffs, IA 51503 Ph: (712) 796-2545 |
Jennifer L Achenbach, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 800 Mercy Dr, Council Bluffs, IA 51503 Phone: 712-325-2484 | |
Mallory Lloyd, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 808 E Pierce St, Council Bluffs, IA 51503 Phone: 402-740-6503 | |
Michelle Rude, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 933 E Pierce St, Council Bluffs, IA 51503 Phone: 712-396-4360 Fax: 712-396-7069 | |
Laura M Ayers, ARNP Nurse Practitioner Medicare: May Accept Medicare Assignments Practice Location: 103 North Ave Ste 8, Council Bluffs, IA 51503 Phone: 712-796-2545 Fax: 712-847-6095 | |
Shannon Ranae Stafford, ARNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1604 2nd Ave, Council Bluffs, IA 51501 Phone: 712-322-6650 Fax: 712-328-7985 | |
Brian Luedke, RN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 933 E Pierce St, Council Bluffs, IA 51503 Phone: 712-396-4360 Fax: 712-396-7069 | |
Ms. Emily Wickham, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 3434 W Broadway Ste 100, Council Bluffs, IA 51501 Phone: 712-325-0022 |