Full Name | |
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Speciality | Family Medicine |
Location | 202 High Street, Tecumseh, Nebraska |
Authorized Official Name and Position | Mary Jane Kent (CEO) |
Authorized Official Contact | 4023353361 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Po Box 538 Tecumseh NE 68450-0538 Ph: (402) 335-2811 | 202 High Street Tecumseh NE 68450 Ph: (402) 335-3361 |
NPI Number | 1780895110 |
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Provider Enumeration Date | 05/25/2007 |
Last Update Date | 01/19/2022 |
Medicare PECOS PAC ID | 4688583644 |
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Medicare Enrollment ID | O20070613000738 |
Identifier | Type | State | Issuer |
---|---|---|---|
1780895110 | NPI | - | NPPES |
10025541800 | Medicaid | NE | |
10025542100 | Medicaid | NE |
Provider Name | Patrick C Farrell |
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Provider Type | Practitioner - Otolaryngology |
Provider Identifiers | NPI Number: 1679545289 PECOS PAC ID: 9739173337 Enrollment ID: I20040414000966 |
Provider Name | Zachariah E Tempelmeyer |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1487660601 PECOS PAC ID: 4981680063 Enrollment ID: I20040629000185 |
Provider Name | Stacey D Goodrich |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1578570180 PECOS PAC ID: 9830131069 Enrollment ID: I20050526000831 |
Provider Name | Benjamin D Biehl |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1336377084 PECOS PAC ID: 7315194461 Enrollment ID: I20120824000787 |
Provider Name | Ali Piper |
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Provider Type | Practitioner - Pulmonary Disease |
Provider Identifiers | NPI Number: 1396009031 PECOS PAC ID: 9032407911 Enrollment ID: I20180731000387 |
Provider Name | Aaron James Pomajzl |
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Provider Type | Practitioner - Urology |
Provider Identifiers | NPI Number: 1932550084 PECOS PAC ID: 2961801436 Enrollment ID: I20210603001713 |
Provider Name | Anna Chacon |
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Provider Type | Practitioner - Dermatology |
Provider Identifiers | NPI Number: 1073950689 PECOS PAC ID: 8527207919 Enrollment ID: I20210920002740 |
Provider Name | Jakeb Daniel Riggle |
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Provider Type | Practitioner - Pulmonary Disease |
Provider Identifiers | NPI Number: 1710336342 PECOS PAC ID: 0345535423 Enrollment ID: I20220504001233 |
Provider Name | Grant W Saltzgaber |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1881259646 PECOS PAC ID: 2769710508 Enrollment ID: I20220525001069 |
Provider Name | Bernalda Kay Fritton |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1386375640 PECOS PAC ID: 7517333883 Enrollment ID: I20221012002051 |
Provider Name | Larissa L Hoffman |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1912605221 PECOS PAC ID: 2567805104 Enrollment ID: I20240209003630 |
Provider Name | Nicole Weyers |
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Provider Type | Practitioner - Qualified Audiologist |
Provider Identifiers | NPI Number: 1487498747 PECOS PAC ID: 0446791057 Enrollment ID: I20241017000371 |
Johnson County Medical Center Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 292 Broadway St., Box 60, Tecumseh, NE 68450 Phone: 402-335-3371 Fax: 402-335-3447 | |