| Southpointe Family Physicians, P.c. | |
|
6820 S 32nd St Lincoln NE 68516-6025 | |
| (402) 323-8400 | |
| (402) 323-8403 |
| Full Name | Southpointe Family Physicians, P.c. |
|---|---|
| Speciality | Family Medicine |
| Location | 6820 S 32nd St, Lincoln, Nebraska |
| Authorized Official Name and Position | Martin P Martin (OWNER) |
| Authorized Official Contact | 4023238400 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Southpointe Family Physicians, P.c. 6820 S 32nd St Lincoln NE 68516-6025 Ph: (402) 323-8400 | Southpointe Family Physicians, P.c. 6820 S 32nd St Lincoln NE 68516-6025 Ph: (402) 323-8400 |
| NPI Number | 1144431677 |
|---|---|
| Provider Enumeration Date | 05/25/2007 |
| Last Update Date | 04/20/2008 |
| Medicare PECOS PAC ID | 1153362462 |
|---|---|
| Medicare Enrollment ID | O20050517000920 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1144431677 | NPI | - | NPPES |
| 01837 | Other | NE | BCBS |
| CH4102 | Other | MEDICARE TRAVELERS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| 363A00000X | Physician Assistant | (* (Not Available)) | Secondary |
| Provider Name | Michael P Martin |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1588613038 PECOS PAC ID: 8224079546 Enrollment ID: I20110923000261 |
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