Capital Medical Clinic Llp | |
4701 Normal Blvd Lincoln NE 68506-5563 | |
(402) 488-5050 | |
(402) 488-5001 |
Full Name | Capital Medical Clinic Llp |
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Speciality | Family Medicine |
Location | 4701 Normal Blvd, Lincoln, Nebraska |
Authorized Official Name and Position | David Cory (CLINIC MANAGER) |
Authorized Official Contact | 4024885050 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Capital Medical Clinic Llp 4701 Normal Blvd Lincoln NE 68506-5563 Ph: (402) 488-5050 | Capital Medical Clinic Llp 4701 Normal Blvd Lincoln NE 68506-5563 Ph: (402) 488-5050 |
NPI Number | 1275876468 |
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Provider Enumeration Date | 04/05/2013 |
Last Update Date | 08/19/2024 |
Medicare PECOS PAC ID | 5799925475 |
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Medicare Enrollment ID | O20130628000668 |
Identifier | Type | State | Issuer |
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1275876468 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | (* (Not Available)) | Primary |
Provider Name | Dorothea Jacobsen |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1437116084 PECOS PAC ID: 0648183095 Enrollment ID: I20050720000917 |
Provider Name | Lisa Marie Peterson |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1073682993 PECOS PAC ID: 4587793757 Enrollment ID: I20100526000583 |
Provider Name | Mary L Drey |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1285792903 PECOS PAC ID: 8224168976 Enrollment ID: I20100607000904 |
Provider Name | Gary Van Ert |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1194894451 PECOS PAC ID: 5092628008 Enrollment ID: I20120604000327 |
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