Lincoln Behavioral Health Clinic | |
3201 Pioneers Blvd Suite 202 Lincoln NE 68502-5963 | |
(402) 489-9959 | |
(402) 489-2219 |
Full Name | Lincoln Behavioral Health Clinic |
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Speciality | Clinic/Center |
Location | 3201 Pioneers Blvd, Lincoln, Nebraska |
Authorized Official Name and Position | Donald William Holmquist (OWNER) |
Authorized Official Contact | 4024899959 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Lincoln Behavioral Health Clinic 3201 Pioneers Blvd Suite 202 Lincoln NE 68502-5963 Ph: (402) 489-9959 | Lincoln Behavioral Health Clinic 3201 Pioneers Blvd Suite 202 Lincoln NE 68502-5963 Ph: (402) 489-9959 |
NPI Number | 1285176107 |
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Provider Enumeration Date | 11/09/2016 |
Last Update Date | 05/21/2020 |
Medicare PECOS PAC ID | 6507148780 |
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Medicare Enrollment ID | O20170124000534 |
Identifier | Type | State | Issuer |
---|---|---|---|
1285176107 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261Q00000X | Clinic/center | (* (Not Available)) | Primary |
Provider Name | Janet M Bock |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1942379516 PECOS PAC ID: 8325109903 Enrollment ID: I20081202000451 |
Provider Name | Helen Alethea Trotter |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1912136789 PECOS PAC ID: 7012049505 Enrollment ID: I20100719000910 |
Provider Name | Marsha Mcmann |
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Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1518458413 PECOS PAC ID: 0547515561 Enrollment ID: I20180615000719 |
Provider Name | Kerry L Emeigh |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1629621354 PECOS PAC ID: 4880925742 Enrollment ID: I20191008002810 |
Provider Name | Clara Jean Fynbu Eggert |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1851742506 PECOS PAC ID: 8224463070 Enrollment ID: I20200124000727 |
Provider Name | Ana Cerrato-young |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1720327752 PECOS PAC ID: 2567899800 Enrollment ID: I20200225003047 |
Provider Name | Sandra Schatz |
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Provider Type | Practitioner - Clinical Psychologist |
Provider Identifiers | NPI Number: 1598993958 PECOS PAC ID: 8527220573 Enrollment ID: I20201020001976 |
Provider Name | Lindsey Gonzales |
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Provider Type | Practitioner - Mental Health Counselor |
Provider Identifiers | NPI Number: 1538524897 PECOS PAC ID: 6901241652 Enrollment ID: I20240304002571 |
Provider Name | Elizabeth Jessen |
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Provider Type | Practitioner - Mental Health Counselor |
Provider Identifiers | NPI Number: 1932288347 PECOS PAC ID: 9931544517 Enrollment ID: I20240305003549 |
Provider Name | Donald Holmquist |
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Provider Type | Practitioner - Mental Health Counselor |
Provider Identifiers | NPI Number: 1205041175 PECOS PAC ID: 9335423078 Enrollment ID: I20240305003733 |
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