Primary Care Partners | |
4424 S 86th St Lincoln NE 68526-9225 | |
(402) 483-2987 | |
(402) 483-2980 |
Full Name | Primary Care Partners |
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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 |
---|---|
Primary Care Partners 4424 S 86th St Lincoln NE 68526-9225 Ph: (402) 483-2987 | Primary Care Partners 4424 S 86th St Lincoln NE 68526-9225 Ph: (402) 483-2987 |
NPI Number | 1144337643 |
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Provider Enumeration Date | 08/23/2006 |
Last Update Date | 08/02/2024 |
Medicare PECOS PAC ID | 7214911270 |
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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 |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1194733451 PECOS PAC ID: 9032147541 Enrollment ID: I20050727000142 |
Provider Name | Rachel Audrey Blake |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1265453161 PECOS PAC ID: 9931122827 Enrollment ID: I20060105000920 |
Provider Name | Nathan P Denell |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1124119482 PECOS PAC ID: 6305938564 Enrollment ID: I20070817000635 |
Provider Name | Katrina Dannewitz |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1649412776 PECOS PAC ID: 2365599172 Enrollment ID: I20090414000533 |
Provider Name | Susan L Johnson |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1679581227 PECOS PAC ID: 4284774779 Enrollment ID: I20091214000505 |
Provider Name | Brandon D Webb |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1518074970 PECOS PAC ID: 8022146125 Enrollment ID: I20100511000719 |
Provider Name | James M Carraher |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1124135579 PECOS PAC ID: 7214065226 Enrollment ID: I20100512000963 |
Provider Name | John Paul Majerus |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1588624142 PECOS PAC ID: 3971693714 Enrollment ID: I20100714000156 |
Provider Name | Angela Zavala |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1295217735 PECOS PAC ID: 5193075091 Enrollment ID: I20180913000992 |
Provider Name | Amy Lynn Bokowski |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1154803765 PECOS PAC ID: 1254685761 Enrollment ID: I20181120002120 |
Provider Name | Tamara J Ruoff |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1184360646 PECOS PAC ID: 4284015751 Enrollment ID: I20220714001679 |
Provider Name | Kathleen J Pfeffer |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1245952340 PECOS PAC ID: 7517333008 Enrollment ID: I20221025002414 |
Provider Name | Derek P Hutchins |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1831751965 PECOS PAC ID: 3870822695 Enrollment ID: I20230807001185 |
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