| Sequoia Medical Services PLLC | |
|
770 Tanglefoot Ln # 3256 Bettendorf IA 52722-1608 | |
| (920) 579-1027 | |
| Not Available |
| Full Name | Sequoia Medical Services PLLC |
|---|---|
| Speciality | Family Medicine |
| Location | 770 Tanglefoot Ln # 3256, Bettendorf, Iowa |
| Authorized Official Name and Position | Kelly Nephew (OWNER) |
| Authorized Official Contact | 9205791027 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Sequoia Medical Services PLLC 512 8th Ave Clarence IA 52216-9419 Ph: (814) 243-0414 | Sequoia Medical Services PLLC 770 Tanglefoot Ln # 3256 Bettendorf IA 52722-1608 Ph: (920) 579-1027 |
| NPI Number | 1386357432 |
|---|---|
| Provider Enumeration Date | 01/04/2023 |
| Last Update Date | 07/28/2023 |
| Certification Date | 07/28/2023 |
| Medicare PECOS PAC ID | 3577918416 |
|---|---|
| Medicare Enrollment ID | O20231012000269 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1386357432 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | () | Primary |
| Provider Name | Amanda Muhs |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1235723297 PECOS PAC ID: 8022427350 Enrollment ID: I20210517002021 |
| Provider Name | Kelly Nephew |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1902554306 PECOS PAC ID: 2860870896 Enrollment ID: I20221031000454 |
| Provider Name | Taylor E Thacker |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1114784865 PECOS PAC ID: 7911445002 Enrollment ID: I20240820004596 |
| Provider Name | Morgan W Deggendorf |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1609614114 PECOS PAC ID: 9335667757 Enrollment ID: I20250519002615 |
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