Elmwood Hometown Healthcare Llc is a medicare enrolled primary clinic (Clinic/center - Primary Care) in Elmwood, Nebraska. The current practice location for Elmwood Hometown Healthcare Llc is 140 N 4th St, Elmwood, Nebraska. For appointments, you can reach them via phone at
(402) 659-8893. The mailing address for Elmwood Hometown Healthcare Llc is 140 N 4th St, Elmwood, Nebraska and phone number is (402) 659-8893.
Elmwood Hometown Healthcare Llc is licensed to practice in * (Not Available) (license number ). The clinic also participates in the medicare program and its
NPI number is 1639887854. This medical practice
accepts medicare insurance (which means this clinic accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance). However, please confirm if they accept your insurance at
(402) 659-8893.
Primary Care Clinic Profile
| Full Name | Elmwood Hometown Healthcare Llc |
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| Speciality | Clinic/Center |
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| Location | 140 N 4th St, Elmwood, Nebraska |
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| Authorized Official Name and Position | Tami Jo Mayberry (AUTHORIZED OFFICIAL) |
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| Authorized Official Contact | 4026599084 |
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| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
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Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
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Elmwood Hometown Healthcare Llc
140 N 4th St
Elmwood
NE 68349-2269
Ph: (402) 659-8893 | Elmwood Hometown Healthcare Llc
140 N 4th St
Elmwood
NE 68349-2269
Ph: (402) 659-8893 |
NPI Details:
| NPI Number | 1639887854 |
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| Provider Enumeration Date | 11/07/2022 |
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| Last Update Date | 11/08/2022 |
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Medicare PECOS Information:
| Medicare PECOS PAC ID | 4880062967 |
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| Medicare Enrollment ID | O20221121002207 |
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Medical Identifiers
Medical identifiers for Elmwood Hometown Healthcare Llc such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1639887854 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 261QP2300X | Clinic/center - Primary Care | (* (Not Available)) | Primary |
Medicare Reassignments
Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works.
Elmwood Hometown Healthcare Llc acts as a billing entity for following providers:
| Provider Name | Tami Jo Mayberry |
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| Provider Type | Practitioner - Nurse Practitioner |
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| Provider Identifiers | NPI Number: 1225529563
PECOS PAC ID: 4688066343
Enrollment ID: I20220110001707 |
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