| South Lincoln Family Physicians, Pc | |
| 4424 S 86th St Lincoln NE 68526-9225 | |
| (402) 483-2987 | |
| (402) 483-2980 | 
| Full Name | South Lincoln Family Physicians, Pc | 
|---|---|
| Speciality | Family Medicine | 
| Location | 4424 S 86th St, Lincoln, Nebraska | 
| Authorized Official Name and Position | Brandon D Webb (PRESIDENT) | 
| Authorized Official Contact | 4024832987 | 
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. | 
| Mailing Address | Practice Location Address | 
|---|---|
| South Lincoln Family Physicians, Pc 4424 S 86th St Lincoln NE 68526-9225 Ph: (402) 483-2987 | South Lincoln Family Physicians, Pc 4424 S 86th St Lincoln NE 68526-9225 Ph: (402) 483-2987 | 
| NPI Number | 1144337643 | 
|---|---|
| Provider Enumeration Date | 08/23/2006 | 
| Last Update Date | 08/02/2024 | 
| Medicare PECOS PAC ID | 7214911270 | 
|---|---|
| Medicare Enrollment ID | O20040616001093 | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1144337643 | NPI | - | NPPES | 
| 02866 | Other | NE | BCBS | 
| 1144337643 | Other | NE | RR MEDICARE | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary | 
| Provider Name | Scott W Wilson | 
|---|---|
| Provider Type | Practitioner - Family Practice | 
| Provider Identifiers | NPI Number: 1194733451 PECOS PAC ID: 9032147541 Enrollment ID: I20050727000142 | 
| Provider Name | Rachel Audrey Blake | 
|---|---|
| Provider Type | Practitioner - Family Practice | 
| Provider Identifiers | NPI Number: 1265453161 PECOS PAC ID: 9931122827 Enrollment ID: I20060105000920 | 
| Provider Name | Nathan P Denell | 
|---|---|
| Provider Type | Practitioner - Family Practice | 
| Provider Identifiers | NPI Number: 1124119482 PECOS PAC ID: 6305938564 Enrollment ID: I20070817000635 | 
| Provider Name | Katrina Dannewitz | 
|---|---|
| Provider Type | Practitioner - Nurse Practitioner | 
| Provider Identifiers | NPI Number: 1649412776 PECOS PAC ID: 2365599172 Enrollment ID: I20090414000533 | 
| Provider Name | Susan L Johnson | 
|---|---|
| Provider Type | Practitioner - Family Practice | 
| Provider Identifiers | NPI Number: 1679581227 PECOS PAC ID: 4284774779 Enrollment ID: I20091214000505 | 
| Provider Name | Brandon D Webb | 
|---|---|
| Provider Type | Practitioner - Family Practice | 
| Provider Identifiers | NPI Number: 1518074970 PECOS PAC ID: 8022146125 Enrollment ID: I20100511000719 | 
| Provider Name | James M Carraher | 
|---|---|
| Provider Type | Practitioner - Family Practice | 
| Provider Identifiers | NPI Number: 1124135579 PECOS PAC ID: 7214065226 Enrollment ID: I20100512000963 | 
| Provider Name | John Paul Majerus | 
|---|---|
| Provider Type | Practitioner - Family Practice | 
| Provider Identifiers | NPI Number: 1588624142 PECOS PAC ID: 3971693714 Enrollment ID: I20100714000156 | 
| Provider Name | Angela Zavala | 
|---|---|
| Provider Type | Practitioner - Nurse Practitioner | 
| Provider Identifiers | NPI Number: 1295217735 PECOS PAC ID: 5193075091 Enrollment ID: I20180913000992 | 
| Provider Name | Amy Lynn Bokowski | 
|---|---|
| Provider Type | Practitioner - Nurse Practitioner | 
| Provider Identifiers | NPI Number: 1154803765 PECOS PAC ID: 1254685761 Enrollment ID: I20181120002120 | 
| Provider Name | Tamara J Ruoff | 
|---|---|
| Provider Type | Practitioner - Nurse Practitioner | 
| Provider Identifiers | NPI Number: 1184360646 PECOS PAC ID: 4284015751 Enrollment ID: I20220714001679 | 
| Provider Name | Kathleen J Pfeffer | 
|---|---|
| Provider Type | Practitioner - Nurse Practitioner | 
| Provider Identifiers | NPI Number: 1245952340 PECOS PAC ID: 7517333008 Enrollment ID: I20221025002414 | 
| Provider Name | Derek P Hutchins | 
|---|---|
| Provider Type | Practitioner - Internal Medicine | 
| Provider Identifiers | NPI Number: 1831751965 PECOS PAC ID: 3870822695 Enrollment ID: I20230807001185 | 
| Provider Name | David A Porto | 
|---|---|
| Provider Type | Practitioner - Nurse Practitioner | 
| Provider Identifiers | NPI Number: 1134961469 PECOS PAC ID: 5092252684 Enrollment ID: I20240731003209 | 
| Provider Name | Aubrey A Walker | 
|---|---|
| Provider Type | Practitioner - Family Practice | 
| Provider Identifiers | NPI Number: 1487224861 PECOS PAC ID: 3375931801 Enrollment ID: I20240809000445 | 
| Cheney Ridge Family Medical Clinic, Pc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 3540 Village Dr, Suite 100, Lincoln, NE 68516 Phone: 402-420-7113 | |
| Plume Health, Pc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 233 S 13th St Ste 1900, Lincoln, NE 68508 Phone: 720-248-4483 | |
| Ramic Lincoln, Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 4500 S 70th St, Suite 116, Lincoln, NE 68516 Phone: 402-327-8080 Fax: 402-327-8090 | |
| Doctors Of Women, Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 8055 O St Ste 100, Lincoln, NE 68510 Phone: 402-488-4022 Fax: 402-488-4113 | |
| Nebraska Urban Indian Health Coalition, Inc. Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 2331 Fairfield St, Lincoln, NE 68521 Phone: 402-434-7177 Fax: 402-434-7180 | |
| Bluestem Health Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 7480 N 56th St Ste 9, Lincoln, NE 68514 Phone: 402-476-1455 Fax: 402-476-1670 | |
| Wedgewood Legacy Medical P.c. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 8055 O St, Ste S-109, Lincoln, NE 68510 Phone: 402-489-8821 Fax: 402-489-0733 |