| Fp Associates, P.c. | |
|
1103 Galvin Rd S Bellevue NE 68005-3002 | |
| (402) 292-1072 | |
| (402) 292-0742 |
| Full Name | Fp Associates, P.c. |
|---|---|
| Speciality | Physician Assistant |
| Location | 1103 Galvin Rd S, Bellevue, Nebraska |
| Authorized Official Name and Position | James A Cervantes (M.D. PRESIDENT) |
| Authorized Official Contact | 4022921072 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Fp Associates, P.c. 1103 Galvin Rd S Ste G Bellevue NE 68005-3000 Ph: (402) 292-1072 | Fp Associates, P.c. 1103 Galvin Rd S Bellevue NE 68005-3002 Ph: (402) 292-1072 |
| NPI Number | 1578668422 |
|---|---|
| Provider Enumeration Date | 09/14/2006 |
| Last Update Date | 08/22/2020 |
| Medicare PECOS PAC ID | 3274574595 |
|---|---|
| Medicare Enrollment ID | O20050517000960 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1578668422 | NPI | - | NPPES |
| 10025254600 | Medicaid | NE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| 363A00000X | Physician Assistant | (* (Not Available)) | Primary |
| Provider Name | James A Cervantes |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1629173562 PECOS PAC ID: 1355382672 Enrollment ID: I20050518000900 |
| Provider Name | Brock Robert Lasure |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1922055532 PECOS PAC ID: 2860429982 Enrollment ID: I20050720000799 |
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