Primary Care Physicians, Llp | |
12728 Augusta Ave Omaha NE 68144-3754 | |
(402) 330-1410 | |
(402) 330-7139 |
Full Name | Primary Care Physicians, Llp |
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Speciality | General Practice |
Location | 12728 Augusta Ave, Omaha, Nebraska |
Authorized Official Name and Position | Maureen B Jones (BUSINESS ADMINISTRATOR) |
Authorized Official Contact | 4023301414 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Primary Care Physicians, Llp 12728 Augusta Ave Omaha NE 68144-3754 Ph: (402) 330-1410 | Primary Care Physicians, Llp 12728 Augusta Ave Omaha NE 68144-3754 Ph: (402) 330-1410 |
NPI Number | 1649230426 |
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Provider Enumeration Date | 03/24/2006 |
Last Update Date | 08/22/2020 |
Medicare PECOS PAC ID | 3779548839 |
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Medicare Enrollment ID | O20041130000990 |
Identifier | Type | State | Issuer |
---|---|---|---|
1649230426 | NPI | - | NPPES |
0550764 | Medicaid | IA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208D00000X | General Practice | (* (Not Available)) | Primary |
Provider Name | Andrea L Lawlor |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1104911296 PECOS PAC ID: 8022005867 Enrollment ID: I20040426001179 |
Provider Name | Heather A Obregon |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1962594390 PECOS PAC ID: 7810064243 Enrollment ID: I20080925000677 |
Provider Name | Gregston R Nelson |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1750476925 PECOS PAC ID: 7315005246 Enrollment ID: I20081022000291 |
Provider Name | Keri E Dillon |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1093196909 PECOS PAC ID: 4284946294 Enrollment ID: I20150706001093 |
Provider Name | Joseph A Anthone |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1790327195 PECOS PAC ID: 1355774472 Enrollment ID: I20191204000616 |
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