| Physician Management Services Of Nebraska, Llc | |
|
2222 S 16th St Ste 435 Lincoln NE 68502-3793 | |
| (888) 829-8550 | |
| Not Available |
| Full Name | Physician Management Services Of Nebraska, Llc |
|---|---|
| Speciality | Family Medicine |
| Location | 2222 S 16th St Ste 435, Lincoln, Nebraska |
| Authorized Official Name and Position | Brett Kenefick (PRESIDENT) |
| Authorized Official Contact | 8888298550 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Physician Management Services Of Nebraska, Llc 3113 Lawton Rd Ste 250 Orlando FL 32803-3517 Ph: () - | Physician Management Services Of Nebraska, Llc 2222 S 16th St Ste 435 Lincoln NE 68502-3793 Ph: (888) 829-8550 |
| NPI Number | 1740898907 |
|---|---|
| Provider Enumeration Date | 07/14/2020 |
| Last Update Date | 07/31/2020 |
| Medicare PECOS PAC ID | 9739508839 |
|---|---|
| Medicare Enrollment ID | O20200923000528 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1740898907 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| Provider Name | Michael Israel |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1184907362 PECOS PAC ID: 7214167881 Enrollment ID: I20140922002005 |
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