| Heartland Psychologists Llc | |
|
11414 W Center Rd Suite 243 Omaha NE 68144-4486 | |
| (402) 333-8210 | |
| (402) 333-2298 |
| Full Name | Heartland Psychologists Llc |
|---|---|
| Speciality | Psychologist |
| Location | 11414 W Center Rd, Omaha, Nebraska |
| Authorized Official Name and Position | Michael C Luebbert (OWNER) |
| Authorized Official Contact | 4028912340 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Heartland Psychologists Llc 11414 W Center Rd Suite 243 Omaha NE 68144-4486 Ph: (402) 333-8210 | Heartland Psychologists Llc 11414 W Center Rd Suite 243 Omaha NE 68144-4486 Ph: (402) 333-8210 |
| NPI Number | 1265662118 |
|---|---|
| Provider Enumeration Date | 07/24/2009 |
| Last Update Date | 07/24/2009 |
| Medicare PECOS PAC ID | 7416000765 |
|---|---|
| Medicare Enrollment ID | O20090804000190 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1265662118 | NPI | - | NPPES |
| 10025764500 | Medicaid | NE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | 567 (Nebraska) | Primary |
| Provider Name | Michael C Luebbert |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1548335482 PECOS PAC ID: 2264422237 Enrollment ID: I20040513000541 |
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