Statera Llc - Medicare Mental Health Clinic in Dubuque, IA

Statera Llc is a medicare enrolled mental health clinic (Clinic/center - Primary Care) in Dubuque, Iowa. The current practice location for Statera Llc is 3375 Lake Ridge Drive, Dubuque, Iowa. For appointments, you can reach them via phone at (563) 580-0243. The mailing address for Statera Llc is 3375 Lake Ridge Drive, Dubuque, Iowa and phone number is (563) 580-0243.

Statera Llc is licensed to practice in * (Not Available) (license number ). The clinic also participates in the medicare program and its NPI number is 1689172751. 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 (563) 580-0243.

Contact Information

Statera Llc
3375 Lake Ridge Drive
Dubuque
IA 52003
(563) 580-0243
Not Available

Mental Health Clinic Profile

Full NameStatera Llc
SpecialityClinic/Center
Location3375 Lake Ridge Drive, Dubuque, Iowa
Authorized Official Name and PositionNicole Lee Hutchison (OWNER)
Authorized Official Contact5635800243
Accepts Medicare InsuranceYes. This clinic participates in medicare program and accept medicare insurance.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Statera Llc
3375 Lake Ridge Drive
Dubuque
IA 52003

Ph: (563) 580-0243
Statera Llc
3375 Lake Ridge Drive
Dubuque
IA 52003

Ph: (563) 580-0243

NPI Details:

NPI Number1689172751
Provider Enumeration Date01/24/2018
Last Update Date01/24/2018

Medicare PECOS Information:

Medicare PECOS PAC ID3476950056
Medicare Enrollment IDO20210923003325

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Medical Identifiers

Medical identifiers for Statera Llc such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1689172751NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
261QM0801XClinic/center - Mental Health (including Community Mental Health Center) (* (Not Available))Secondary
261QP2000XClinic/center - Physical Therapy (* (Not Available))Secondary
261QP2300XClinic/center - Primary Care (* (Not Available))Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Statera Llc acts as a billing entity for following providers:
Provider NameKatherine T Gansen
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1609024652
PECOS PAC ID: 1759459100
Enrollment ID: I20081013000049

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Provider NameLawrence Ronald Hutchison
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1639142805
PECOS PAC ID: 1658302096
Enrollment ID: I20101005001289

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Provider NameAmy M Mcfadden-decker
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1073736518
PECOS PAC ID: 7416355581
Enrollment ID: I20211005001278

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Provider NameEmily A Roling
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1174139315
PECOS PAC ID: 5597163220
Enrollment ID: I20211012000281

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Provider NameLynn M Randall
Provider TypePractitioner - Chiropractic
Provider IdentifiersNPI Number: 1316058506
PECOS PAC ID: 9739140047
Enrollment ID: I20211119001722

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› Verified 3 days ago

Clinic/Center in Dubuque, IA

Finn Therapy, Llc
Mental Health Clinic
Medicare: Not Enrolled in Medicare
Practice Location: 3343 Center Grove Dr Ste A, Dubuque, IA 52003
Phone: 563-581-8070    
Catholic Charities Of The Archdiocese Of Dubuque Iowa
Mental Health Clinic
Medicare: Medicare Enrolled
Practice Location: 1229 Mount Loretta Ave, Dubuque, IA 52003
Phone: 563-588-0558    
Makovec Counseling Llc
Mental Health Clinic
Medicare: Not Enrolled in Medicare
Practice Location: 2621 Van Buren Ave, Dubuque, IA 52001
Phone: 563-663-0091    
Substance Abuse Services Center
Mental Health Clinic
Medicare: Not Enrolled in Medicare
Practice Location: 799 Main St, Suite 270, Dubuque, IA 52001
Phone: 563-582-3784    Fax: 563-582-4006
Hillcrest Family Services
Mental Health Clinic
Medicare: Not Enrolled in Medicare
Practice Location: 2005 Asbury Rd, Dubuque, IA 52001
Phone: 563-583-7357    
Hillcrest Family Services
Mental Health Clinic
Medicare: Not Enrolled in Medicare
Practice Location: 1160 Seippel Rd, Dubuque, IA 52002
Phone: 563-557-4386    Fax: 888-243-3455
Midwest Social Worker, Llc
Mental Health Clinic
Medicare: Not Enrolled in Medicare
Practice Location: 2100 Asbury Rd Ste 3, Dubuque, IA 52001
Phone: 563-580-2494    

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