| Serenity Health Pllc | |
|
2950 S 21st Ave Apt 106 Bozeman MT 59718-5042 | |
| (706) 957-2633 | |
| Not Available |
| Full Name | Serenity Health Pllc |
|---|---|
| Speciality | Clinic/Center |
| Location | 2950 S 21st Ave Apt 106, Bozeman, Montana |
| Authorized Official Name and Position | Katherine I Herczeg (NURSE PRACTITIONER) |
| Authorized Official Contact | 7069572633 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Serenity Health Pllc 2950 S 21st Ave Apt 106 Bozeman MT 59718-5042 Ph: (706) 957-2633 | Serenity Health Pllc 2950 S 21st Ave Apt 106 Bozeman MT 59718-5042 Ph: (706) 957-2633 |
| NPI Number | 1659005759 |
|---|---|
| Provider Enumeration Date | 07/13/2022 |
| Last Update Date | 07/25/2025 |
| Medicare PECOS PAC ID | 5294106746 |
|---|---|
| Medicare Enrollment ID | O20230120002114 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1659005759 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | (* (Not Available)) | Primary |
| Provider Name | Katherine I Herczeg |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1467608141 PECOS PAC ID: 8820159791 Enrollment ID: I20160824001524 |
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