| Sentinel Healthcare Llc | |
|
1900 S Reserve St Missoula MT 59801-6455 | |
| (406) 543-4408 | |
| Not Available |
| Full Name | Sentinel Healthcare Llc |
|---|---|
| Speciality | General Practice |
| Location | 1900 S Reserve St, Missoula, Montana |
| Authorized Official Name and Position | Amber L Tueller (SECRETARY) |
| Authorized Official Contact | 2082072726 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Sentinel Healthcare Llc 1900 S Reserve St Missoula MT 59801-6455 Ph: (406) 543-4408 | Sentinel Healthcare Llc 1900 S Reserve St Missoula MT 59801-6455 Ph: (406) 543-4408 |
| NPI Number | 1710503099 |
|---|---|
| Provider Enumeration Date | 06/22/2020 |
| Last Update Date | 06/10/2025 |
| Medicare PECOS PAC ID | 0244654135 |
|---|---|
| Medicare Enrollment ID | O20200724001625 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1710503099 | NPI | - | NPPES |
| Provider Name | Kelsey Lau Elkins |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1891203790 PECOS PAC ID: 8224399308 Enrollment ID: I20180306002284 |
| Provider Name | Penny Palm Bucher |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1407519366 PECOS PAC ID: 2365834777 Enrollment ID: I20220114002128 |
| Provider Name | Sakai Schmidt |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1598510711 PECOS PAC ID: 0547705162 Enrollment ID: I20240708003082 |
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