| West Omaha Family Physicians Pc | |
|
17030 Lakeside Hills Plz #130 Omaha NE 68130-2396 | |
| (402) 763-9392 | |
| Not Available |
| Full Name | West Omaha Family Physicians Pc |
|---|---|
| Speciality | Family Medicine |
| Location | 17030 Lakeside Hills Plz, Omaha, Nebraska |
| Authorized Official Name and Position | Robert A Beer (PRESIDENT) |
| Authorized Official Contact | 4027585150 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| West Omaha Family Physicians Pc 17030 Lakeside Hills Plz #130 Omaha NE 68130-2396 Ph: (402) 758-5150 | West Omaha Family Physicians Pc 17030 Lakeside Hills Plz #130 Omaha NE 68130-2396 Ph: (402) 763-9392 |
| NPI Number | 1639337892 |
|---|---|
| Provider Enumeration Date | 05/23/2008 |
| Last Update Date | 09/29/2008 |
| Medicare PECOS PAC ID | 5597836759 |
|---|---|
| Medicare Enrollment ID | O20080616000159 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1639337892 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| Provider Name | Robert Allan Beer |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1457400699 PECOS PAC ID: 9133194640 Enrollment ID: I20040828000216 |
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