| Lincoln Family Wellness, Pc | |
|
1101 S 70th St Suite 101 Lincoln NE 68510-4293 | |
| (402) 488-1400 | |
| (402) 488-3879 |
| Full Name | Lincoln Family Wellness, Pc |
|---|---|
| Speciality | Family Medicine |
| Location | 1101 S 70th St, Lincoln, Nebraska |
| Authorized Official Name and Position | Pat A Burns (ADMINISTRATOR) |
| Authorized Official Contact | 4024881400 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Lincoln Family Wellness, Pc 1101 S 70th St Suite 101 Lincoln NE 68510-4293 Ph: (402) 488-1400 | Lincoln Family Wellness, Pc 1101 S 70th St Suite 101 Lincoln NE 68510-4293 Ph: (402) 488-1400 |
| NPI Number | 1417063892 |
|---|---|
| Provider Enumeration Date | 08/21/2006 |
| Last Update Date | 03/22/2023 |
| Medicare PECOS PAC ID | 6901934835 |
|---|---|
| Medicare Enrollment ID | O20100513000203 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1417063892 | NPI | - | NPPES |
| CN2123 | Other | NE | RAILROAD MEDICARE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| Provider Name | Christian K Haefele |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1245296276 PECOS PAC ID: 4385638550 Enrollment ID: I20040412000519 |
| Provider Name | Timothy J Dalton |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1811950694 PECOS PAC ID: 4183673809 Enrollment ID: I20050201000541 |
| Provider Name | David A Foster |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1053328807 PECOS PAC ID: 7911917505 Enrollment ID: I20060426000801 |
| Provider Name | Michelle K Manning |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1326154709 PECOS PAC ID: 9931237781 Enrollment ID: I20100818000130 |
| Provider Name | Rebecca L Pfabe |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1356357586 PECOS PAC ID: 8426182080 Enrollment ID: I20100818000180 |
| Provider Name | Janet K Sellon |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1245246040 PECOS PAC ID: 0840328696 Enrollment ID: I20100818000206 |
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