Surgical Associates, P.c. | |
1001 S 70th St Ste 100 Lincoln NE 68510-7901 | |
(402) 441-4760 | |
(402) 441-4764 |
Full Name | Surgical Associates, P.c. |
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Speciality | Surgery |
Location | 1001 S 70th St Ste 100, Lincoln, Nebraska |
Authorized Official Name and Position | Joel Mason Gustafson (ADMINISTRATOR) |
Authorized Official Contact | 4024414760 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
---|---|
Surgical Associates, P.c. 1001 S 70th St Ste 100 Lincoln NE 68510-7901 Ph: (402) 441-4760 | Surgical Associates, P.c. 1001 S 70th St Ste 100 Lincoln NE 68510-7901 Ph: (402) 441-4760 |
NPI Number | 1801831268 |
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Provider Enumeration Date | 06/19/2006 |
Last Update Date | 02/12/2019 |
Medicare PECOS PAC ID | 8921011529 |
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Medicare Enrollment ID | O20060727000259 |
Identifier | Type | State | Issuer |
---|---|---|---|
1801831268 | NPI | - | NPPES |
200385800A | Medicaid | KS | |
10025389300 | Medicaid | NE | |
30119 | Other | NE | BCBS GROUP |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207RB0002X | Internal Medicine - Obesity Medicine | (* (Not Available)) | Secondary |
208600000X | Surgery | (* (Not Available)) | Primary |
Provider Name | Michael A Jobst |
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Provider Type | Practitioner - Colorectal Surgery (proctology) |
Provider Identifiers | NPI Number: 1780618272 PECOS PAC ID: 4688619430 Enrollment ID: I20050622001230 |
Provider Name | Robert M Norris |
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Provider Type | Practitioner - General Surgery |
Provider Identifiers | NPI Number: 1528061462 PECOS PAC ID: 4981622636 Enrollment ID: I20060727000343 |
Provider Name | Greg Fitzke |
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Provider Type | Practitioner - General Surgery |
Provider Identifiers | NPI Number: 1255334124 PECOS PAC ID: 0446263040 Enrollment ID: I20060727000394 |
Provider Name | Benjamin J Hung |
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Provider Type | Practitioner - General Surgery |
Provider Identifiers | NPI Number: 1245233154 PECOS PAC ID: 5991718595 Enrollment ID: I20060727000447 |
Provider Name | Raymond Taddeucci |
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Provider Type | Practitioner - General Surgery |
Provider Identifiers | NPI Number: 1922064708 PECOS PAC ID: 3375584782 Enrollment ID: I20060818000442 |
Provider Name | Michael A Schmidt |
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Provider Type | Practitioner - Pediatric Medicine |
Provider Identifiers | NPI Number: 1720027428 PECOS PAC ID: 8921164328 Enrollment ID: I20090311000025 |
Provider Name | Kelly Johnson Krier |
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Provider Type | Practitioner - Colorectal Surgery (proctology) |
Provider Identifiers | NPI Number: 1013056050 PECOS PAC ID: 5193976942 Enrollment ID: I20121105000121 |
Provider Name | Sherri B Thomas |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1215107826 PECOS PAC ID: 2860661014 Enrollment ID: I20140417002074 |
Provider Name | Scott Allen Schroeder |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1033594817 PECOS PAC ID: 1850696360 Enrollment ID: I20171025002584 |
Provider Name | Anthony Tabatabai |
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Provider Type | Practitioner - General Surgery |
Provider Identifiers | NPI Number: 1154732394 PECOS PAC ID: 4880914852 Enrollment ID: I20200624001989 |
Provider Name | Katievia Q Rush-wilks |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1871225086 PECOS PAC ID: 0840671384 Enrollment ID: I20220715000243 |
Provider Name | James O Markman |
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Provider Type | Practitioner - Colorectal Surgery (proctology) |
Provider Identifiers | NPI Number: 1285168351 PECOS PAC ID: 9537439575 Enrollment ID: I20230713001167 |
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