Full Name | |
---|---|
Speciality | Clinic/Center |
Location | 610 Main St, Alma, Nebraska |
Authorized Official Name and Position | Kelly J Mclain (OPTOMETRIST/OWNER) |
Authorized Official Contact | 3089282187 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
---|---|
Po Box 777 Alma NE 68920-0777 Ph: (308) 928-2187 | 610 Main St Alma NE 68920-2165 Ph: (308) 928-2187 |
NPI Number | 1396408720 |
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Provider Enumeration Date | 10/21/2021 |
Last Update Date | 06/16/2022 |
Medicare PECOS PAC ID | 5496144289 |
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Medicare Enrollment ID | O20211117000507 |
Identifier | Type | State | Issuer |
---|---|---|---|
1396408720 | NPI | - | NPPES |
12737256 | Medicaid | NE |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261Q00000X | Clinic/center | (* (Not Available)) | Primary |
Provider Name | Kelly J Mclain |
---|---|
Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1487063863 PECOS PAC ID: 6608190301 Enrollment ID: I20190110003107 |
Heartland Family Medicine, P.c. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 715 Brown St, Alma, NE 68920 Phone: 308-928-2103 Fax: 308-928-2560 | |