Superior Family Medical Center - Medicare Primary Care in Superior, NE

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Superior Family Medical Center is a medicare enrolled primary clinic (Clinic/center - Rural Health) in Superior, Nebraska. The current practice location for Superior Family Medical Center is 525 E 11th St, Superior, Nebraska. For appointments, you can reach them via phone at (402) 879-4781. The mailing address for Superior Family Medical Center is Po Box 407, Superior, Nebraska and phone number is (402) 879-4781.

Superior Family Medical Center is licensed to practice in * (Not Available) (license number ). The clinic also participates in the medicare program and its NPI number is 1073590626. This medical practice accepts medicare insurance (which means this clinic accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance). However, please confirm if they accept your insurance at (402) 879-4781.

Contact Information

Superior Family Medical Center
525 E 11th St
Superior
NE 68978-1101
(402) 879-4781
(402) 879-3365

Map and Direction


Primary Care Clinic Profile

Full NameSuperior Family Medical Center
SpecialityClinic/Center
Location525 E 11th St, Superior, Nebraska
Authorized Official Name and PositionTreg Vyzourek (CEO)
Authorized Official Contact4028793281
Accepts Medicare InsuranceYes. This clinic participates in medicare program and accept medicare insurance.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Superior Family Medical Center
Po Box 407
Superior
NE 68978-0407

Ph: (402) 879-4781		Superior Family Medical Center
525 E 11th St
Superior
NE 68978-1101

Ph: (402) 879-4781

NPI Details:

NPI Number1073590626
Provider Enumeration Date12/26/2005
Last Update Date03/23/2022

Medicare PECOS Information:

Medicare PECOS PAC ID4082513015
Medicare Enrollment IDO20040423000949

Medical Identifiers

Medical identifiers for Superior Family Medical Center such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1073590626NPI-NPPES
10025177900MedicaidNE

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207Q00000XFamily Medicine (* (Not Available))Secondary
261QR1300XClinic/center - Rural Health (* (Not Available))Primary
363A00000XPhysician Assistant (* (Not Available))Secondary
363L00000XNurse Practitioner (* (Not Available))Secondary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Superior Family Medical Center acts as a billing entity for following providers:
Provider NameCharles R Adams
Provider TypePractitioner - Neurology
Provider IdentifiersNPI Number: 1073707949
PECOS PAC ID: 9436054624
Enrollment ID: I20031201000714
Provider NameBarry Bohlen
Provider TypePractitioner - Orthopedic Surgery
Provider IdentifiersNPI Number: 1710928130
PECOS PAC ID: 2264330232
Enrollment ID: I20031229000707
Provider NameRaymond D Heller
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1124137039
PECOS PAC ID: 7214825025
Enrollment ID: I20040304000882
Provider NameKenneth E Mccalla
Provider TypePractitioner - Urology
Provider IdentifiersNPI Number: 1487629291
PECOS PAC ID: 4981652054
Enrollment ID: I20050426001060
Provider NameTeresa B Frahm
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1477530020
PECOS PAC ID: 5698702082
Enrollment ID: I20050718000452
Provider NameJulie A Theis
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1295712842
PECOS PAC ID: 0042247439
Enrollment ID: I20050718000456
Provider NameRichard P Bose
Provider TypePractitioner - Pain Management
Provider IdentifiersNPI Number: 1689739021
PECOS PAC ID: 9638117617
Enrollment ID: I20050906000972
Provider NameTimothy D Blecha
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1790777936
PECOS PAC ID: 9234273988
Enrollment ID: I20100218000155
Provider NameRobert G Leibel
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1578540126
PECOS PAC ID: 3779610837
Enrollment ID: I20100421000318
Provider NameHeidi A Bergen
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1184919615
PECOS PAC ID: 9335327030
Enrollment ID: I20110628000873
Provider NameAlisha Fangmeyer
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1568756609
PECOS PAC ID: 3476721390
Enrollment ID: I20110720000653
Provider NamePravardhan R Birthi
Provider TypePractitioner - Pain Management
Provider IdentifiersNPI Number: 1013161082
PECOS PAC ID: 4385887926
Enrollment ID: I20130829000071
Provider NameWilliam Chambers Waller
Provider TypePractitioner - Urology
Provider IdentifiersNPI Number: 1528069515
PECOS PAC ID: 6709873250
Enrollment ID: I20170925000281
Provider NameKendra E Luebke
Provider TypePractitioner - Otolaryngology
Provider IdentifiersNPI Number: 1669714275
PECOS PAC ID: 9830489665
Enrollment ID: I20181030000128
Provider NameSusan B Kryzsko
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1447819727
PECOS PAC ID: 0749515112
Enrollment ID: I20190709000611
Provider NameSusan M Briseno
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1497396923
PECOS PAC ID: 6103243381
Enrollment ID: I20200902001976
Provider NameMichelle D Schiel
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1427496843
PECOS PAC ID: 3274855101
Enrollment ID: I20210203002560
Provider NameCasey T Zoltenko
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1942843321
PECOS PAC ID: 8628510898
Enrollment ID: I20240604002286

Reviews and Comments


Clinic/Center in Superior, NE

Teachworth Chiropractic Llc
Primary Care Clinic
Medicare: Medicare Enrolled
Practice Location: 3056 Highway 14, Superior, NE 68978
Phone: 785-875-3010    Fax: 785-875-4746

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.