| Banner Health Physicians West Llc | |
|
2601 N Spruce St Ogallala NE 69153-2465 | |
| (308) 284-3645 | |
| Not Available |
| Full Name | Banner Health Physicians West Llc |
|---|---|
| Speciality | Clinic/Center |
| Location | 2601 N Spruce St, Ogallala, Nebraska |
| Authorized Official Name and Position | Shiva Birdi (CEO BMG) |
| Authorized Official Contact | 4802563336 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Banner Health Physicians West Llc 2901 N Central Ave Ste 160 Phoenix AZ 85012-2702 Ph: () - | Banner Health Physicians West Llc 2601 N Spruce St Ogallala NE 69153-2465 Ph: (308) 284-3645 |
| NPI Number | 1154687812 |
|---|---|
| Provider Enumeration Date | 04/06/2012 |
| Last Update Date | 04/04/2023 |
| Medicare PECOS PAC ID | 5092978866 |
|---|---|
| Medicare Enrollment ID | O20120629000531 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1154687812 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM1300X | Clinic/center - Multi-specialty | (* (Not Available)) | Primary |
| Provider Name | Miles Tommeraasen |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1295733905 PECOS PAC ID: 2062536873 Enrollment ID: I20100831000985 |
| Provider Name | Jessica K Leibhart |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1437387180 PECOS PAC ID: 8729266903 Enrollment ID: I20110620000041 |
| Provider Name | Patrick S Miller |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1285695569 PECOS PAC ID: 1456370600 Enrollment ID: I20141209000493 |
| Provider Name | David A Chavez |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1578649521 PECOS PAC ID: 8426089939 Enrollment ID: I20160218000094 |
| Provider Name | Christopher D Wong |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1972865400 PECOS PAC ID: 3476782749 Enrollment ID: I20160818000875 |
| Provider Name | David Kukafka |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1255301180 PECOS PAC ID: 3072573492 Enrollment ID: I20170919001241 |
| Provider Name | Amy Dawn Hoffman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1811505431 PECOS PAC ID: 4486071297 Enrollment ID: I20200825002293 |
| Provider Name | Siavash Panah |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1114122876 PECOS PAC ID: 5890911366 Enrollment ID: I20210302002567 |
| Provider Name | Gerald Blake Mclaughlin |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1952476996 PECOS PAC ID: 3072694504 Enrollment ID: I20210707002795 |
| Provider Name | James P Duffey |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1508862152 PECOS PAC ID: 6305827759 Enrollment ID: I20230728000826 |
| Provider Name | Thomas Mann |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1457308447 PECOS PAC ID: 5496653362 Enrollment ID: I20230801004320 |
Perkins County Hospital District Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 221 E 10th St, Ogallala, NE 69153 Phone: 308-284-8421 | |
Myc Pc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 333 E 2nd St, Ogallala, NE 69153 Phone: 308-284-9839 Fax: 308-284-4120 | |
Ncmc Specialty Clinic Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2601 N Spruce St, Ogallala, NE 69153 Phone: 970-392-0900 | |
Ogallala Medical Group Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2601 N Spruce St, Ogallala, NE 69153 Phone: 308-284-3645 | |
Banner Health Clinic Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 2601 N Spruce St Ste A, Ogallala, NE 69153 Phone: 308-284-3645 Fax: 308-284-2721 | |
Ogallala Community Hospital Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2601 N Spruce St Ste A, Ogallala, NE 69153 Phone: 308-284-4011 Fax: 308-284-7212 |