| Chadron Medical Clinic Pc | |
|
825 Centennial Dr Chadron NE 69337-9400 | |
| (308) 432-4441 | |
| (308) 432-4446 |
| Full Name | Chadron Medical Clinic Pc |
|---|---|
| Speciality | General Practice |
| Location | 825 Centennial Dr, Chadron, Nebraska |
| Authorized Official Name and Position | Teresa J Landreth (OFFICE MANAGER) |
| Authorized Official Contact | 3084324441 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Chadron Medical Clinic Pc 825 Centennial Dr Po Box 431 Chadron NE 69337-9400 Ph: (308) 432-4441 | Chadron Medical Clinic Pc 825 Centennial Dr Chadron NE 69337-9400 Ph: (308) 432-4441 |
| NPI Number | 1417167370 |
|---|---|
| Provider Enumeration Date | 05/22/2007 |
| Last Update Date | 07/21/2022 |
| Medicare PECOS PAC ID | 8022086453 |
|---|---|
| Medicare Enrollment ID | O20040922001100 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1417167370 | NPI | - | NPPES |
| 01981 | Other | NE | BLUE SHIELD |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208D00000X | General Practice | (Nebraska) | Primary |
| Provider Name | Kristin Kay Johnson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1316920465 PECOS PAC ID: 1254308315 Enrollment ID: I20040916000943 |
| Provider Name | Edward Arthur Pelton |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1255314654 PECOS PAC ID: 1759290232 Enrollment ID: I20050120000903 |
| Provider Name | Catherine A Sutera |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1962485292 PECOS PAC ID: 8527190297 Enrollment ID: I20100816000926 |
| Provider Name | Jerry L Mclain |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1912980327 PECOS PAC ID: 9537291208 Enrollment ID: I20100820001107 |
| Provider Name | Megan K Schuckman |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1134483126 PECOS PAC ID: 0244544914 Enrollment ID: I20150810000577 |
| Provider Name | Danielle J Thies |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1801274303 PECOS PAC ID: 1254648728 Enrollment ID: I20181018000682 |
| Provider Name | Emily M Arterburn |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1194370007 PECOS PAC ID: 7618205808 Enrollment ID: I20190827000069 |
| Provider Name | Leeann Bruns |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1972048379 PECOS PAC ID: 0840662912 Enrollment ID: I20230218000415 |
| Provider Name | Garret Glen Dockweiler |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1518549856 PECOS PAC ID: 7810339991 Enrollment ID: I20240828002633 |
Northwest Eye Center, Pc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 139 W 3rd St, Chadron, NE 69337 Phone: 308-432-2200 Fax: 308-432-3616 | |
Chadron Medical Clinic Pc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 825 Centennial Dr, Chadron, NE 69337 Phone: 308-432-4441 Fax: 308-432-2130 | |
Landen Chiropractic, P.c. Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1115 W 8th St, Chadron, NE 69337 Phone: 308-432-8098 Fax: 308-432-8442 |