| Lincoln Family Medical Group Pc | |
|
7441 O St Ste 400 Lincoln NE 68510-2466 | |
| (402) 488-7400 | |
| Not Available |
| Full Name | Lincoln Family Medical Group Pc |
|---|---|
| Speciality | Family Medicine |
| Location | 7441 O St Ste 400, Lincoln, Nebraska |
| Authorized Official Name and Position | David Klitzke (BUSINESS MANAGER) |
| Authorized Official Contact | 4024887400 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Lincoln Family Medical Group Pc 7441 O St Ste 400 Lincoln NE 68510-2466 Ph: (402) 488-7400 | Lincoln Family Medical Group Pc 7441 O St Ste 400 Lincoln NE 68510-2466 Ph: (402) 488-7400 |
| NPI Number | 1295879559 |
|---|---|
| Provider Enumeration Date | 02/19/2007 |
| Last Update Date | 01/06/2015 |
| Medicare PECOS PAC ID | 8022906775 |
|---|---|
| Medicare Enrollment ID | O20040305000411 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1295879559 | NPI | - | NPPES |
| 01996 | Other | NE | BCBS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101Y00000X | Counselor | (* (Not Available)) | Secondary |
| 103T00000X | Psychologist | (* (Not Available)) | Secondary |
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| Provider Name | Alisa J Nollendorfs |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1679573653 PECOS PAC ID: 7214922210 Enrollment ID: I20040419000960 |
| Provider Name | Christine Jean Keim |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1720176910 PECOS PAC ID: 9335122597 Enrollment ID: I20040609000604 |
| Provider Name | James Austin Fosnaugh |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1205865631 PECOS PAC ID: 5597723023 Enrollment ID: I20041230000090 |
| Provider Name | Matthew Jacobsen |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1003913138 PECOS PAC ID: 8527968205 Enrollment ID: I20050720000767 |
| Provider Name | Dorothea Jacobsen |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1437116084 PECOS PAC ID: 0648183095 Enrollment ID: I20050720000917 |
| Provider Name | Mary K Gobber |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1831128271 PECOS PAC ID: 7113920125 Enrollment ID: I20060811000393 |
| Provider Name | Thomas O Martin |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1174625875 PECOS PAC ID: 1052451622 Enrollment ID: I20091214000238 |
| Provider Name | Dale Michels |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1528025608 PECOS PAC ID: 3971491622 Enrollment ID: I20100826000590 |
| Provider Name | Edward M Stringham |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1790836351 PECOS PAC ID: 2668598715 Enrollment ID: I20100925000279 |
| Provider Name | Linsey D Haden |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1124256870 PECOS PAC ID: 2466600168 Enrollment ID: I20120921000789 |
| Provider Name | Frank J Weirman |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1447683495 PECOS PAC ID: 5496643157 Enrollment ID: I20131115000788 |
| Provider Name | Jenna L Cook |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1891080362 PECOS PAC ID: 9830320670 Enrollment ID: I20140814001188 |
| Provider Name | Daniel Owen |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1942753918 PECOS PAC ID: 9739415290 Enrollment ID: I20200324001502 |
| Provider Name | Jennifer Elizabeth Coon |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1710471743 PECOS PAC ID: 4981012010 Enrollment ID: I20210409000629 |
| Provider Name | Trevor John Hyatt |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1689129025 PECOS PAC ID: 4385089663 Enrollment ID: I20240226003945 |
| Provider Name | Lynn M. Nagorski |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1588896096 PECOS PAC ID: 2264877562 Enrollment ID: I20240227000256 |
| Provider Name | Suzanne L Jouvenat |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1366744435 PECOS PAC ID: 5597103341 Enrollment ID: I20240329001538 |
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