Hawarden Regional Healthcare Clinics Llc - Medicare Primary Care in Hawarden, IA

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Hawarden Regional Healthcare Clinics Llc is a medicare enrolled primary clinic (Family Medicine) in Hawarden, Iowa. The current practice location for Hawarden Regional Healthcare Clinics Llc is 1122 Avenue L, Hawarden, Iowa. For appointments, you can reach them via phone at (712) 551-3400. The mailing address for Hawarden Regional Healthcare Clinics Llc is 1122 Avenue L, Hawarden, Iowa and phone number is (712) 551-3400.

Hawarden Regional Healthcare Clinics Llc is licensed to practice in * (Not Available) (license number ). The clinic also participates in the medicare program and its NPI number is 1750324612. 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 (712) 551-3400.

Contact Information

Hawarden Regional Healthcare Clinics Llc
1122 Avenue L
Hawarden
IA 51023-1928
(712) 551-3400
(712) 551-2691

Map and Direction


Primary Care Clinic Profile

Full NameHawarden Regional Healthcare Clinics Llc
SpecialityFamily Medicine
Location1122 Avenue L, Hawarden, Iowa
Authorized Official Name and PositionJayson P Pullman (CEO)
Authorized Official Contact7125513103
Accepts Medicare InsuranceYes. This clinic participates in medicare program and accept medicare insurance.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Hawarden Regional Healthcare Clinics Llc
1122 Avenue L
Hawarden
IA 51023-1928

Ph: (712) 551-3400		Hawarden Regional Healthcare Clinics Llc
1122 Avenue L
Hawarden
IA 51023-1928

Ph: (712) 551-3400

NPI Details:

NPI Number1750324612
Provider Enumeration Date06/14/2006
Last Update Date03/18/2014

Medicare PECOS Information:

Medicare PECOS PAC ID7517929532
Medicare Enrollment IDO20050411000652

Medical Identifiers

Medical identifiers for Hawarden Regional Healthcare Clinics Llc such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1750324612NPI-NPPES
1013955004MedicaidIA
0685032MedicaidIA
38497OtherIAWELLMARK BCBS IA GRP #

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207Q00000XFamily Medicine (* (Not Available))Primary
261QR1300XClinic/center - Rural Health (* (Not Available))Secondary
363AM0700XPhysician Assistant - Medical (* (Not Available))Secondary
363LF0000XNurse Practitioner - Family (* (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. Hawarden Regional Healthcare Clinics Llc acts as a billing entity for following providers:
Provider NameKelly S Pomerenke
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1205826641
PECOS PAC ID: 5799672978
Enrollment ID: I20040302000996
Provider NameDale P Nystrom
Provider TypePractitioner - General Practice
Provider IdentifiersNPI Number: 1528128444
PECOS PAC ID: 6204822430
Enrollment ID: I20040422001561
Provider NameCindi S Rule
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1003006610
PECOS PAC ID: 2860565132
Enrollment ID: I20080718000655
Provider NameDavid S Chua
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1023268646
PECOS PAC ID: 8325281454
Enrollment ID: I20130821000463
Provider NameDenise S Hanisch
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1154375608
PECOS PAC ID: 1951304849
Enrollment ID: I20140225001504
Provider NameMindy Lou Dejager
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1841608148
PECOS PAC ID: 2668690793
Enrollment ID: I20140902001314
Provider NameBeau Waddell
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1053713636
PECOS PAC ID: 9830413913
Enrollment ID: I20161115002059
Provider NameAmy M Waterman
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1104335496
PECOS PAC ID: 4385903640
Enrollment ID: I20180111001616
Provider NameKaren S Kennedy
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1639724065
PECOS PAC ID: 9032547666
Enrollment ID: I20200313002069
Provider NameDavid John Barnes
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1457352205
PECOS PAC ID: 1557446002
Enrollment ID: I20210519001252
Provider NameJenna A Weyen
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1134852502
PECOS PAC ID: 8527441278
Enrollment ID: I20220813000679
Provider NameMackenzie J Warner
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1376229344
PECOS PAC ID: 6709860083
Enrollment ID: I20230825001244

Reviews and Comments


Family Medicine in Hawarden, IA

Hawarden Regional Healthcare Clinics Llc
Primary Care Clinic
Medicare: Medicare Enrolled
Practice Location: 1122 Avenue L, Hawarden, IA 51023
Phone: 712-551-3400    Fax: 712-551-2691
Sioux Center Health
Primary Care Clinic
Medicare: Not Enrolled in Medicare
Practice Location: 920 Avenue F, Hawarden, IA 51023
Phone: 712-551-1000    

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.