| Epic Health And Wellness Pc | |
|
1075 Cedar Cross Rd Ste 1 Dubuque IA 52003-7748 | |
| (563) 582-1000 | |
| (563) 582-1113 |
| Full Name | Epic Health And Wellness Pc |
|---|---|
| Speciality | Clinic/Center |
| Location | 1075 Cedar Cross Rd Ste 1, Dubuque, Iowa |
| Authorized Official Name and Position | Kelly Mcmahon (CEO) |
| Authorized Official Contact | 5635821000 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Epic Health And Wellness Pc 1075 Cedar Cross Rd Ste 1 Dubuque IA 52003-7748 Ph: (563) 582-1000 | Epic Health And Wellness Pc 1075 Cedar Cross Rd Ste 1 Dubuque IA 52003-7748 Ph: (563) 582-1000 |
| NPI Number | 1164989174 |
|---|---|
| Provider Enumeration Date | 02/26/2019 |
| Last Update Date | 02/26/2019 |
| Medicare PECOS PAC ID | 6901231406 |
|---|---|
| Medicare Enrollment ID | O20200109002833 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1164989174 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | (* (Not Available)) | Primary |
| Provider Name | Kelly Mcmahon |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1013987189 PECOS PAC ID: 9537159504 Enrollment ID: I20040513000538 |
| Provider Name | Amanda A Renne |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1942857529 PECOS PAC ID: 1052640141 Enrollment ID: I20210203002161 |
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