Bellevue Primary Healthcare Pc | |
12717 S 28th Ave Bellevue NE 68123-3232 | |
(402) 525-6976 | |
Not Available |
Full Name | Bellevue Primary Healthcare Pc |
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Speciality | Family Medicine |
Location | 12717 S 28th Ave, Bellevue, Nebraska |
Authorized Official Name and Position | Kelli Rae Pavlish (NURSE PRACTITIONER) |
Authorized Official Contact | 4025256976 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Bellevue Primary Healthcare Pc 703 Canyon Rd Bellevue NE 68005-2735 Ph: (402) 525-6976 | Bellevue Primary Healthcare Pc 12717 S 28th Ave Bellevue NE 68123-3232 Ph: (402) 525-6976 |
NPI Number | 1497091888 |
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Provider Enumeration Date | 12/12/2012 |
Last Update Date | 04/24/2024 |
Medicare PECOS PAC ID | 2860639051 |
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Medicare Enrollment ID | O20130507000450 |
Identifier | Type | State | Issuer |
---|---|---|---|
1497091888 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | (* (Not Available)) | Primary |
261QP2300X | Clinic/center - Primary Care | 111265 (Nebraska) | Secondary |
Provider Name | Alan D Jensen |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1053495614 PECOS PAC ID: 8628001054 Enrollment ID: I20050915000449 |
Provider Name | Rebecca L Newberry |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1568665206 PECOS PAC ID: 4183712110 Enrollment ID: I20071108000509 |
Provider Name | Kimberly Kay Harm |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1477535730 PECOS PAC ID: 0749366722 Enrollment ID: I20080401000301 |
Provider Name | Latrice Diann Martin |
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Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
Provider Identifiers | NPI Number: 1932439205 PECOS PAC ID: 8426230848 Enrollment ID: I20110307000634 |
Provider Name | Kelli R Pavlish |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1255611059 PECOS PAC ID: 1052588902 Enrollment ID: I20120118000518 |
Provider Name | Robert J Langenfeld |
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Provider Type | Practitioner - Psychiatry |
Provider Identifiers | NPI Number: 1275573875 PECOS PAC ID: 8628123031 Enrollment ID: I20150923000912 |
Provider Name | Maen M Haddadin |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1316097314 PECOS PAC ID: 3779591599 Enrollment ID: I20160121001078 |
Provider Name | Amy Jo Lyon |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1538684535 PECOS PAC ID: 5193078749 Enrollment ID: I20181029000933 |
Provider Name | Brenda L Herrod |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1194193029 PECOS PAC ID: 9133528482 Enrollment ID: I20210519000649 |
Provider Name | Valerie L Height |
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Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1548856750 PECOS PAC ID: 8729477310 Enrollment ID: I20211122000498 |
Provider Name | Kyleen Schmoker |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1164187811 PECOS PAC ID: 2163812496 Enrollment ID: I20211201000574 |
Provider Name | Chelsy M Bailly |
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Provider Type | Practitioner - Mental Health Counselor |
Provider Identifiers | NPI Number: 1164994224 PECOS PAC ID: 5991144305 Enrollment ID: I20240418001642 |
Provider Name | Michael J Mccann |
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Provider Type | Practitioner - Mental Health Counselor |
Provider Identifiers | NPI Number: 1639817984 PECOS PAC ID: 5799124079 Enrollment ID: I20240419000332 |
Provider Name | Lori Beth Koch |
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Provider Type | Practitioner - Mental Health Counselor |
Provider Identifiers | NPI Number: 1881131126 PECOS PAC ID: 8628418613 Enrollment ID: I20240424001050 |
Provider Name | Ryan M Bieck |
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Provider Type | Practitioner - Mental Health Counselor |
Provider Identifiers | NPI Number: 1780061218 PECOS PAC ID: 2668812389 Enrollment ID: I20240429002336 |
Provider Name | Sharon T Hughbanks |
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Provider Type | Practitioner - Mental Health Counselor |
Provider Identifiers | NPI Number: 1700176781 PECOS PAC ID: 1254771652 Enrollment ID: I20240502001700 |
Provider Name | Katherine M Eisenbeil |
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Provider Type | Practitioner - Mental Health Counselor |
Provider Identifiers | NPI Number: 1447560156 PECOS PAC ID: 1658711064 Enrollment ID: I20240502001916 |
Provider Name | Jennifer Lee Coleman |
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Provider Type | Practitioner - Mental Health Counselor |
Provider Identifiers | NPI Number: 1891373130 PECOS PAC ID: 4880034065 Enrollment ID: I20240506000573 |
Provider Name | Barbara Daubenspeck |
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Provider Type | Practitioner - Mental Health Counselor |
Provider Identifiers | NPI Number: 1336635234 PECOS PAC ID: 1658712468 Enrollment ID: I20240510001866 |
Provider Name | Natasha G Hall |
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Provider Type | Practitioner - Mental Health Counselor |
Provider Identifiers | NPI Number: 1225518335 PECOS PAC ID: 5597107581 Enrollment ID: I20240522001540 |
Roy W.holeyfield Jr. M.d. P.c. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 12717 S 28th Ave, Bellevue, NE 68123 Phone: 402-991-7071 Fax: 402-292-7465 | |
The Family Doc, Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 2211 Capehart Rd Ste 103, Bellevue, NE 68123 Phone: 402-933-4111 Fax: 402-934-4111 | |
Twin Creeks Physical Therapy Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 3802 Raynor Pkwy Ste 201, Bellevue, NE 68123 Phone: 402-449-5800 | |
Dfas-jfll/in Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 4005 Raynor Pkwy Apt 3316, Bellevue, NE 68123 Phone: 210-862-0632 | |
Oneworld Community Health Centers, Inc. Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 2207 Georgia Ave, Bellevue, NE 68005 Phone: 402-502-8855 Fax: 402-502-8854 | |
Family Health And Wellness, P.c. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1103 Galvin Rd S, Area B, Bellevue, NE 68005 Phone: 402-292-7400 Fax: 402-292-7401 |