| Heartland Surgical Services, Llc. | |
|
9100 Andermatt Dr Ste 1 Lincoln NE 68526-6700 | |
| (402) 227-8157 | |
| (402) 434-3970 |
| Full Name | Heartland Surgical Services, Llc. |
|---|---|
| Speciality | Clinic/Center |
| Location | 9100 Andermatt Dr Ste 1, Lincoln, Nebraska |
| Authorized Official Name and Position | Jared Ray (DIRECTOR OF OPERATIONS) |
| Authorized Official Contact | 4022278157 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Heartland Surgical Services, Llc. 9100 Andermatt Dr Ste 1 Lincoln NE 68526-6700 Ph: (402) 227-8157 | Heartland Surgical Services, Llc. 9100 Andermatt Dr Ste 1 Lincoln NE 68526-6700 Ph: (402) 227-8157 |
| NPI Number | 1285283622 |
|---|---|
| Provider Enumeration Date | 09/09/2019 |
| Last Update Date | 05/21/2020 |
| Medicare PECOS PAC ID | 9537490982 |
|---|---|
| Medicare Enrollment ID | O20191016000454 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1285283622 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (* (Not Available)) | Primary |
| Provider Name | Jodi M Fuehrer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1982861589 PECOS PAC ID: 0446325351 Enrollment ID: I20080812000342 |
| Provider Name | Richard A. Fermelia |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1851486831 PECOS PAC ID: 4587769369 Enrollment ID: I20180814002789 |
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