Good Neighbor Clinic Fremont - Medicare Primary Care in Fremont, NE

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Good Neighbor Clinic Fremont is a medicare enrolled primary clinic (Clinic/center - Federally Qualified Health Center (fqhc)) in Fremont, Nebraska. The current practice location for Good Neighbor Clinic Fremont is 2740 N Clarkson St, Fremont, Nebraska. For appointments, you can reach them via phone at (402) 721-0951. The mailing address for Good Neighbor Clinic Fremont is 4321 41st Ave, Columbus, Nebraska and phone number is (402) 562-8952.

Good Neighbor Clinic Fremont is licensed to practice in Nebraska (license number ). The clinic also participates in the medicare program and its NPI number is 1902287261. 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) 721-0951.

Contact Information

Good Neighbor Clinic Fremont
2740 N Clarkson St
Fremont
NE 68025-7716
(402) 721-0951
(402) 721-0804

Map and Direction


Primary Care Clinic Profile

Full NameGood Neighbor Clinic Fremont
SpecialityClinic/Center
Location2740 N Clarkson St, Fremont, Nebraska
Authorized Official Name and PositionTerri Ford-wolfgram (CEO)
Authorized Official Contact4025627500
Accepts Medicare InsuranceYes. This clinic participates in medicare program and accept medicare insurance.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Good Neighbor Clinic Fremont
4321 41st Ave
Columbus
NE 68601-2131

Ph: (402) 562-8952		Good Neighbor Clinic Fremont
2740 N Clarkson St
Fremont
NE 68025-7716

Ph: (402) 721-0951

NPI Details:

NPI Number1902287261
Provider Enumeration Date06/12/2015
Last Update Date08/30/2023

Medicare PECOS Information:

Medicare PECOS PAC ID0840100392
Medicare Enrollment IDO20150624001057

Medical Identifiers

Medical identifiers for Good Neighbor Clinic Fremont such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1902287261NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
261QF0400XClinic/center - Federally Qualified Health Center (fqhc) (Nebraska)Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Good Neighbor Clinic Fremont acts as a billing entity for following providers:
Provider NameRobin J Bernard
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1326070012
PECOS PAC ID: 3971535998
Enrollment ID: I20050909000710
Provider NameKevin R Harm
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1922025790
PECOS PAC ID: 0244264505
Enrollment ID: I20050926000701
Provider NameBruce E Myers
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1891873220
PECOS PAC ID: 9436122637
Enrollment ID: I20070109000269
Provider NameVilma B Rodriguez Cline
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1023232675
PECOS PAC ID: 4183791544
Enrollment ID: I20080926000233
Provider NameJennifer A Nekl
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1841420320
PECOS PAC ID: 1557417565
Enrollment ID: I20090916000415
Provider NameMary K Nolte
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1154550036
PECOS PAC ID: 5496891327
Enrollment ID: I20091007000486
Provider NameDonald E Rigler
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1467502468
PECOS PAC ID: 6901932235
Enrollment ID: I20100325001006
Provider NameMark T Leahy
Provider TypePractitioner - Obstetrics/gynecology
Provider IdentifiersNPI Number: 1629043773
PECOS PAC ID: 8820185358
Enrollment ID: I20100716000039
Provider NameRashmi Ojha
Provider TypePractitioner - Psychiatry
Provider IdentifiersNPI Number: 1407056476
PECOS PAC ID: 3072779743
Enrollment ID: I20120724000849
Provider NameVicki D Peterson Truksa
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1053671883
PECOS PAC ID: 4688822158
Enrollment ID: I20120907000559
Provider NameBrandon L Borer
Provider TypePractitioner - Podiatry
Provider IdentifiersNPI Number: 1275818056
PECOS PAC ID: 9234374448
Enrollment ID: I20140709000963
Provider NameAmanda M Wilson
Provider TypePractitioner - Obstetrics/gynecology
Provider IdentifiersNPI Number: 1013271238
PECOS PAC ID: 1557652898
Enrollment ID: I20160616002423
Provider NameSheryl Ann Bakare
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1851813927
PECOS PAC ID: 4082987870
Enrollment ID: I20170829004271
Provider NameAmy Jo Lyon
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1538684535
PECOS PAC ID: 5193078749
Enrollment ID: I20181029000933
Provider NameLaura Marie Fischer
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1710029954
PECOS PAC ID: 0941537682
Enrollment ID: I20190803000020
Provider NameOlivia G Smrcina
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1316573975
PECOS PAC ID: 2860815297
Enrollment ID: I20200702000106
Provider NameShannon Lynn Mcdonald
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1659998748
PECOS PAC ID: 1759792187
Enrollment ID: I20201116001774
Provider NameCrystal Amber Christie
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1922624329
PECOS PAC ID: 6507279668
Enrollment ID: I20210108001871
Provider NameKelsey Loontjer
Provider TypePractitioner - Dentist
Provider IdentifiersNPI Number: 1659931301
PECOS PAC ID: 5496086480
Enrollment ID: I20210324000629
Provider NameRachel S Glidden
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1447740642
PECOS PAC ID: 0749536670
Enrollment ID: I20221021002004
Provider NameMartha Elizabeth Nunn
Provider TypePractitioner - Dentist
Provider IdentifiersNPI Number: 1013219062
PECOS PAC ID: 7315314663
Enrollment ID: I20221031000857
Provider NameStaci Huston
Provider TypePractitioner - Mental Health Counselor
Provider IdentifiersNPI Number: 1922519206
PECOS PAC ID: 6901271188
Enrollment ID: I20240123002724
Provider NameSamuel Burns
Provider TypePractitioner - Mental Health Counselor
Provider IdentifiersNPI Number: 1033539580
PECOS PAC ID: 0446686331
Enrollment ID: I20240202001552

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Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.