| Lincoln Internal Medicine Associates, Pc | |
|
3901 Pine Lake Rd Suite 220 Lincoln NE 68516-5497 | |
| (402) 421-3240 | |
| (402) 423-0739 |
| Full Name | Lincoln Internal Medicine Associates, Pc |
|---|---|
| Speciality | Internal Medicine |
| Location | 3901 Pine Lake Rd, Lincoln, Nebraska |
| Authorized Official Name and Position | Morgan Ariel Schrunk (CREDENTIALING COORDINATOR) |
| Authorized Official Contact | 5312180500 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Lincoln Internal Medicine Associates, Pc 3901 Pine Lake Rd Suite 220 Lincoln NE 68516-5497 Ph: (402) 421-3240 | Lincoln Internal Medicine Associates, Pc 3901 Pine Lake Rd Suite 220 Lincoln NE 68516-5497 Ph: (402) 421-3240 |
| NPI Number | 1891708848 |
|---|---|
| Provider Enumeration Date | 08/14/2006 |
| Last Update Date | 03/23/2023 |
| Medicare PECOS PAC ID | 1658344825 |
|---|---|
| Medicare Enrollment ID | O20040816001222 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1891708848 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| Provider Name | Gerold J Stark |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1235142316 PECOS PAC ID: 7517930787 Enrollment ID: I20040816001178 |
| Provider Name | Ritoo Jain |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1487666509 PECOS PAC ID: 6002884525 Enrollment ID: I20040922000949 |
| Provider Name | Lewis W Plachy |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1083622450 PECOS PAC ID: 6305889007 Enrollment ID: I20050603000461 |
| Provider Name | Michael A Pace |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1356352256 PECOS PAC ID: 3375586092 Enrollment ID: I20050603000575 |
| Provider Name | Jodi I Triggs |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1366463994 PECOS PAC ID: 4880672229 Enrollment ID: I20060913000086 |
| Provider Name | Kenneth J Cheloha |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1982616090 PECOS PAC ID: 3476604828 Enrollment ID: I20090827000024 |
| Provider Name | Holly L Mcmillan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1528071669 PECOS PAC ID: 8921159377 Enrollment ID: I20100416000504 |
| Provider Name | Jason R Potts |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1215940358 PECOS PAC ID: 9830240282 Enrollment ID: I20100419000748 |
| Provider Name | Shawn D Semin |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1336152420 PECOS PAC ID: 4284785635 Enrollment ID: I20100420000081 |
| Provider Name | Mark D Reida |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1356354419 PECOS PAC ID: 1658422001 Enrollment ID: I20100420000531 |
| Provider Name | Scott Thomas Ingham |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1750940680 PECOS PAC ID: 4082940861 Enrollment ID: I20220727001544 |
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