| Edgewood Family Physicians Pc | |
|
5200 S 56th St Suite 2 Lincoln NE 68516-1884 | |
| (402) 421-6200 | |
| (402) 421-6070 |
| Full Name | Edgewood Family Physicians Pc |
|---|---|
| Speciality | Family Medicine |
| Location | 5200 S 56th St, Lincoln, Nebraska |
| Authorized Official Name and Position | Michael D Huffman (OWNER/PRESIDENT) |
| Authorized Official Contact | 4024216200 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Edgewood Family Physicians Pc 5200 S 56th St Ste 2 Lincoln NE 68516-1891 Ph: (402) 421-6200 | Edgewood Family Physicians Pc 5200 S 56th St Suite 2 Lincoln NE 68516-1884 Ph: (402) 421-6200 |
| NPI Number | 1508829300 |
|---|---|
| Provider Enumeration Date | 04/11/2006 |
| Last Update Date | 12/05/2023 |
| Medicare PECOS PAC ID | 5395816979 |
|---|---|
| Medicare Enrollment ID | O20080625000688 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1508829300 | NPI | - | NPPES |
| C50349 | Other | NE | RAILROAD MEDICARE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| Provider Name | Michael D Huffman |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1386607182 PECOS PAC ID: 7214008895 Enrollment ID: I20080625000677 |
| Provider Name | Traci Renee Kreifels |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1578057071 PECOS PAC ID: 5193079192 Enrollment ID: I20181109001567 |
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