| Mercyone Urgentcare | |
|
2400 Lillian Way Clinton IA 52732-2001 | |
| (563) 559-7833 | |
| Not Available |
| Full Name | Mercyone Urgentcare |
|---|---|
| Speciality | Clinic/Center |
| Location | 2400 Lillian Way, Clinton, Iowa |
| Authorized Official Name and Position | Tamara Samson (VP REVENUE CYCLE) |
| Authorized Official Contact | 2252141031 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Mercyone Urgentcare 10319 Jefferson Hwy Baton Rouge LA 70809-2730 Ph: () - | Mercyone Urgentcare 2400 Lillian Way Clinton IA 52732-2001 Ph: (563) 559-7833 |
| NPI Number | 1447995766 |
|---|---|
| Provider Enumeration Date | 05/02/2022 |
| Last Update Date | 10/20/2022 |
| Medicare PECOS PAC ID | 6002294907 |
|---|---|
| Medicare Enrollment ID | O20220606001558 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1447995766 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (* (Not Available)) | Primary |
| Provider Name | Patricia J Bischoff |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1467440792 PECOS PAC ID: 4486541281 Enrollment ID: I20040304000234 |
| Provider Name | Roberta C Walburn |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1821067745 PECOS PAC ID: 3678561461 Enrollment ID: I20040501000409 |
| Provider Name | Barbara M White |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1619954740 PECOS PAC ID: 8022070481 Enrollment ID: I20041028000954 |
| Provider Name | Tammy L Rebhuhn |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1932212768 PECOS PAC ID: 1456357938 Enrollment ID: I20061005000334 |
| Provider Name | Lynne M Senty |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1588770788 PECOS PAC ID: 2668544099 Enrollment ID: I20080630000676 |
| Provider Name | Timothy C Dykstra |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1043206113 PECOS PAC ID: 5092614461 Enrollment ID: I20080707000280 |
| Provider Name | Sharon L Marguglio |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1033360284 PECOS PAC ID: 9436218153 Enrollment ID: I20081110000212 |
| Provider Name | Robert W Hatchitt |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1750487922 PECOS PAC ID: 0547392482 Enrollment ID: I20100713000377 |
| Provider Name | Tonia K Erickson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1124312509 PECOS PAC ID: 0840478640 Enrollment ID: I20110627000335 |
| Provider Name | Tonja L Winekauf |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1710275912 PECOS PAC ID: 2769656834 Enrollment ID: I20111130000026 |
| Provider Name | Kelly L Lillie |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1841555281 PECOS PAC ID: 2961654629 Enrollment ID: I20121227000121 |
| Provider Name | Kelli A Mccormick |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1962841304 PECOS PAC ID: 6800039611 Enrollment ID: I20130827000279 |
| Provider Name | Emily E Hawbaker |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1801203484 PECOS PAC ID: 3375761307 Enrollment ID: I20140904000359 |
| Provider Name | Thersa Kauffman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1861746927 PECOS PAC ID: 3375761984 Enrollment ID: I20141210000417 |
| Provider Name | Dianne Marie Donaldson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1720259427 PECOS PAC ID: 7911975693 Enrollment ID: I20150928001497 |
| Provider Name | Marilyn L Harter |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1124401922 PECOS PAC ID: 8527364470 Enrollment ID: I20160303000046 |
| Provider Name | Kindra A Jacobsen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1619353323 PECOS PAC ID: 0143520247 Enrollment ID: I20161025000271 |
| Provider Name | Denni Jo Fitzsimmons |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1457734600 PECOS PAC ID: 5799099552 Enrollment ID: I20170307001097 |
| Provider Name | Myra A Diaz |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1609146471 PECOS PAC ID: 1153581756 Enrollment ID: I20171109000971 |
| Provider Name | Bethany R Grant |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1831601335 PECOS PAC ID: 4688931793 Enrollment ID: I20171128002080 |
| Provider Name | Ashley Renee Neuweg |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1962927467 PECOS PAC ID: 3779847975 Enrollment ID: I20180515001691 |
| Provider Name | Christina Lester |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1942205471 PECOS PAC ID: 7810983541 Enrollment ID: I20191018002517 |
| Provider Name | Jelena Raus May |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1801447404 PECOS PAC ID: 6901238542 Enrollment ID: I20191119002971 |
| Provider Name | Tonya Shirrell Stewart |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1114543048 PECOS PAC ID: 9537583265 Enrollment ID: I20200728000666 |
| Provider Name | Katie E Flood |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1437764172 PECOS PAC ID: 3375962129 Enrollment ID: I20200929001913 |
| Provider Name | Melissa Ann Cowan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1063180776 PECOS PAC ID: 0941607832 Enrollment ID: I20210920002072 |
| Provider Name | Jamie Briar |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1356936009 PECOS PAC ID: 6002206976 Enrollment ID: I20211208001345 |
| Provider Name | Annette Jean Lemer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1508501859 PECOS PAC ID: 7517347982 Enrollment ID: I20220630002772 |
| Provider Name | Laressa L Ryan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1972227510 PECOS PAC ID: 0345616736 Enrollment ID: I20221027000132 |
| Provider Name | Traci M Holmquist |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1588044846 PECOS PAC ID: 3870890171 Enrollment ID: I20221221002301 |
| Provider Name | Shannon Danielle Fry |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1982335022 PECOS PAC ID: 1951771013 Enrollment ID: I20230105002488 |
| Provider Name | Emily Kay Stewart |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1912617820 PECOS PAC ID: 8921470220 Enrollment ID: I20230215000882 |
| Provider Name | Mark R Habel |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1437869559 PECOS PAC ID: 4688049836 Enrollment ID: I20230331001450 |
| Provider Name | Katherine Marie Lee |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1518642529 PECOS PAC ID: 9436509098 Enrollment ID: I20231221002727 |
| Provider Name | Carl Floyd Maass |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1922864693 PECOS PAC ID: 0648615468 Enrollment ID: I20240301002889 |
| Provider Name | Trisha Lynn Tibbitts |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1043073687 PECOS PAC ID: 6002251824 Enrollment ID: I20240301002922 |
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