| Elkhorn Valley Family Medicine, Pc | |
|
304 E Douglas St Oneill NE 68763-1830 | |
| (402) 336-4222 | |
| (402) 336-4228 |
| Full Name | Elkhorn Valley Family Medicine, Pc |
|---|---|
| Speciality | Clinic/Center |
| Location | 304 E Douglas St, Oneill, Nebraska |
| Authorized Official Name and Position | Dave Fuchser (OFFICE MANAGER) |
| Authorized Official Contact | 4023364222 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Elkhorn Valley Family Medicine, Pc 304 E Douglas St Oneill NE 68763-1830 Ph: (402) 336-4222 | Elkhorn Valley Family Medicine, Pc 304 E Douglas St Oneill NE 68763-1830 Ph: (402) 336-4222 |
| NPI Number | 1598767287 |
|---|---|
| Provider Enumeration Date | 08/11/2005 |
| Last Update Date | 12/11/2007 |
| Medicare PECOS PAC ID | 8123001070 |
|---|---|
| Medicare Enrollment ID | O20040610001534 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1598767287 | NPI | - | NPPES |
| 10025080400 | Medicaid | NE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (* (Not Available)) | Primary |
| Provider Name | Peter Donald Lueninghoener |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1609878610 PECOS PAC ID: 1658353719 Enrollment ID: I20040617000523 |
| Provider Name | Sharon L Spencer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1801858402 PECOS PAC ID: 8022055151 Enrollment ID: I20050411000933 |
| Provider Name | Robyn L Heiser |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1497751903 PECOS PAC ID: 6608961255 Enrollment ID: I20070927000778 |
| Provider Name | Jenna M Kaup |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1508120791 PECOS PAC ID: 2163673609 Enrollment ID: I20121113000351 |
| Provider Name | Heather Ann Pardun |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1528404381 PECOS PAC ID: 9133369028 Enrollment ID: I20130718000017 |
| Provider Name | Kacindra J Kopf |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1477991784 PECOS PAC ID: 8224278171 Enrollment ID: I20130718000373 |
| Provider Name | Sawyer Guy Fenske |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1396376638 PECOS PAC ID: 2365872587 Enrollment ID: I20200430000498 |
| Provider Name | Rachel M Wecker |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1518684497 PECOS PAC ID: 7517335995 Enrollment ID: I20221115002833 |
Avera Oneill Family Medicine Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 403 E Hynes Ave, Oneill, NE 68763 Phone: 402-336-2622 Fax: 402-336-3240 | |
Midtown Health Center, Inc. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 422 E Douglas St, Oneill, NE 68763 Phone: 402-371-8000 Fax: 402-371-0971 | |
Avera Medical Group O'neill Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 300 N 2nd St, Oneill, NE 68763 Phone: 402-336-2611 Fax: 402-336-5137 | |
Avera Holt County Medical Clinic Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 555 E John St, Oneill, NE 68763 Phone: 402-336-4113 | |
Avera Medical Group O'neill Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 300 N 2nd St, Suite 100, Oneill, NE 68763 Phone: 402-336-2900 |