Elpidionestor Tabutol Iloreta, MD | |
908 N Howard Ave, Ste 108, Grand Island, NE 68803-3556 | |
(308) 381-2224 | |
(308) 381-0793 |
Full Name | Elpidionestor Tabutol Iloreta |
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Gender | Male |
Speciality | Family Medicine |
Location | 908 N Howard Ave, Grand Island, Nebraska |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
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1447226816 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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207Q00000X | Family Medicine | 20908 (Nebraska) | Primary |
Entity Name | Permanente Medical Group Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1073606299 PECOS PAC ID: 8921910225 Enrollment ID: O20031104000710 |
Mailing Address | Practice Location Address |
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Elpidionestor Tabutol Iloreta, MD 908 N Howard Ave, Ste 108, Grand Island, NE 68803-3556 Ph: (308) 381-2224 | Elpidionestor Tabutol Iloreta, MD 908 N Howard Ave, Ste 108, Grand Island, NE 68803-3556 Ph: (308) 381-2224 |
Adam Benson Brosz, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 2444 W Faidley Ave, Grand Island, NE 68803 Phone: 130-838-2110 Fax: 308-385-0796 | |
William J Lawton, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 2444 W Faidley Ave, Grand Island, NE 68803 Phone: 308-382-1100 Fax: 308-385-0796 | |
Dr. Donald G Wirth, M.D. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 2116 W Faidley Ave, Ste 400, Grand Island, NE 68803 Phone: 308-381-0162 Fax: 308-389-4445 | |
Todd A. Woollen, M.D. Family Medicine Medicare: Medicare Enrolled Practice Location: 2201 N Broadwell Ave, Grand Island, NE 68803 Phone: 308-382-3660 Fax: 308-389-5111 | |
Tyler Jay Vettel, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 3563 Prairieview St Ste 300, Grand Island, NE 68803 Phone: 308-381-0162 Fax: 308-389-4445 | |
Lubna Anays Nasr El Nimer, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 2620 W Faidley Ave, Grand Island, NE 68803 Phone: 308-384-4600 | |
Dr. Heather J Hockman, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 3016 W Faidley Ave, Grand Island, NE 68803 Phone: 308-381-8546 Fax: 308-381-8550 |