Dr Clayton Jose Friesen, MD | |
3515 Richmond Circle, Grand Island, NE 68803-4965 | |
(308) 381-8636 | |
(308) 381-8622 |
Full Name | Dr Clayton Jose Friesen |
---|---|
Gender | Male |
Speciality | Cardiovascular Disease (cardiology) |
Experience | 23 Years |
Location | 3515 Richmond Circle, Grand Island, Nebraska |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1073695037 | NPI | - | NPPES |
47070592301 | Medicaid | NE | |
10026072300 | Medicaid | NE | |
47070592300 | Medicaid | NE | |
47070592305 | Medicaid | NE | |
10026072500 | Medicaid | NE | |
47070592302 | Medicaid | NE | |
0401410 | Medicaid | IA | |
200536770A | Medicaid | KS | |
2401410 | Medicaid | IA | |
10026072400 | Medicaid | NE | |
47070592313 | Medicaid | NE | |
47070592306 | Medicaid | NE |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | 22964 (Nebraska) | Secondary |
207RC0000X | Internal Medicine - Cardiovascular Disease | 22964 (Nebraska) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Chi Health St. Francis | Grand island, NE | Hospital |
Henderson Health Care Services | Henderson, NE | Hospital |
Mary Lanning Healthcare | Hastings, NE | Hospital |
The Nebraska Medical Center | Omaha, NE | Hospital |
Kearney County Health Services Hospital | Minden, NE | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
The Mary Lanning Memorial Hospital Association | 4587575550 | 118 |
Chi Health Clinic Specialty Llc | 4789098443 | 248 |
Entity Name | The Mary Lanning Memorial Hospital Association |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1760530216 PECOS PAC ID: 4587575550 Enrollment ID: O20031105000492 |
Entity Name | Chi Health Clinic Specialty Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1285138065 PECOS PAC ID: 4789098443 Enrollment ID: O20210121000492 |
Mailing Address | Practice Location Address |
---|---|
Dr Clayton Jose Friesen, MD 7440 South 91st Street, Lincoln, NE 68526-9797 Ph: (402) 489-6555 | Dr Clayton Jose Friesen, MD 3515 Richmond Circle, Grand Island, NE 68803-4965 Ph: (308) 381-8636 |
Dr. Niraj Kumar Yadav, MBBS Cardiovascular Disease Medicare: Medicare Enrolled Practice Location: 2620 W Faidley Ave, Grand Island, NE 68803 Phone: 308-384-4600 | |
Dr. Nathan William Murdoch, M.D. Cardiovascular Disease Medicare: Accepting Medicare Assignments Practice Location: 3610 Richmond Cir Ste 100, Grand Island, NE 68803 Phone: 308-398-6400 Fax: 308-398-6408 | |
Dr. Ghulam R. Mirza, M.D. Cardiovascular Disease Medicare: Medicare Enrolled Practice Location: 2201 N Broadwell Ave, Grand Island, NE 68803 Phone: 308-382-3660 | |
Swathi Lavudi, M.D. Cardiovascular Disease Medicare: Accepting Medicare Assignments Practice Location: 3563 Prairieview St Ste 200, Grand Island, NE 68803 Phone: 308-382-2010 Fax: 308-382-9549 | |
Dr. John A Wagoner, M.D. Cardiovascular Disease Medicare: Medicare Enrolled Practice Location: 800 N Alpha St, Grand Island, NE 68803 Phone: 308-382-2010 Fax: 308-382-9549 | |
Dr. Jeffrey K. King, M.D. Cardiovascular Disease Medicare: Accepting Medicare Assignments Practice Location: 3515 Richmond Circle, Grand Island, NE 68803 Phone: 308-381-8636 Fax: 308-381-8622 |