Full Name | |
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Speciality | Family Medicine |
Location | 1301 E H St, Mc Cook, Nebraska |
Authorized Official Name and Position | Nichole Hartzer (ADMINISTRATOR) |
Authorized Official Contact | 3083448784 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
---|---|
Po Box 1207 Mc Cook NE 69001-1207 Ph: (308) 344-4110 | 1301 E H St Mc Cook NE 69001-3482 Ph: (308) 344-4110 |
NPI Number | 1336290972 |
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Provider Enumeration Date | 01/12/2007 |
Last Update Date | 01/19/2025 |
Medicare PECOS PAC ID | 0941196125 |
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Medicare Enrollment ID | O20040225000128 |
Identifier | Type | State | Issuer |
---|---|---|---|
1336290972 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | (* (Not Available)) | Primary |
Provider Name | Jason J Blomstedt |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1548351893 PECOS PAC ID: 8820177504 Enrollment ID: I20080506000708 |
Provider Name | John West |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1063485290 PECOS PAC ID: 8628167459 Enrollment ID: I20100306000339 |
Provider Name | Lorinda L Reece |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1780656223 PECOS PAC ID: 0941240402 Enrollment ID: I20100728001255 |
Provider Name | Corinne B Phillips-ward |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1043282593 PECOS PAC ID: 5991894727 Enrollment ID: I20100728001264 |
Provider Name | Alyssa B Bauer |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1649541376 PECOS PAC ID: 9335308006 Enrollment ID: I20120315000704 |
Provider Name | Kristin M Fulkerson |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1174701239 PECOS PAC ID: 6305961905 Enrollment ID: I20140724000307 |
Provider Name | Naomi E Olson |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1356878243 PECOS PAC ID: 7113296898 Enrollment ID: I20170712001573 |
Provider Name | Matthew D Nielsen |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1598147845 PECOS PAC ID: 7810286903 Enrollment ID: I20180719001177 |
Provider Name | Ashley Marie Vontz |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1477049922 PECOS PAC ID: 9537417589 Enrollment ID: I20180807002969 |
Provider Name | Hope Ann Ferguson |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1487147633 PECOS PAC ID: 7911237789 Enrollment ID: I20210712003350 |
Provider Name | Whitney Dawn Schoenemann |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1861166233 PECOS PAC ID: 1052716610 Enrollment ID: I20210819000843 |
Provider Name | Sean C Erickson |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1023677176 PECOS PAC ID: 2365772225 Enrollment ID: I20211210001189 |
Provider Name | Hannah Faith Taylor |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1003532359 PECOS PAC ID: 7012381577 Enrollment ID: I20240403000936 |
National Medical Services Corporation, Inc. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 106 W 3rd St, Mc Cook, NE 69001 Phone: 308-345-7770 Fax: 308-345-1975 | |
Wright Elevate Health Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 801 W C St, Suite #3, Mc Cook, NE 69001 Phone: 308-777-2476 |