York Medical Clinic, P.c. | |
2114 N Lincoln Ave Ste A York NE 68467-1072 | |
(402) 362-5555 | |
Not Available |
Full Name | York Medical Clinic, P.c. |
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Speciality | Family Medicine |
Location | 2114 N Lincoln Ave Ste A, York, Nebraska |
Authorized Official Name and Position | Kitti Nienhueser (CREDENTIALING COORDINATOR) |
Authorized Official Contact | 4023620615 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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York Medical Clinic, P.c. 2114 N Lincoln Avenue Suite A York NE 68467-1028 Ph: (402) 362-5555 | York Medical Clinic, P.c. 2114 N Lincoln Ave Ste A York NE 68467-1072 Ph: (402) 362-5555 |
NPI Number | 1376596809 |
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Provider Enumeration Date | 05/18/2006 |
Last Update Date | 04/29/2024 |
Medicare PECOS PAC ID | 7113918939 |
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Medicare Enrollment ID | O20040520000960 |
Identifier | Type | State | Issuer |
---|---|---|---|
1376596809 | NPI | - | NPPES |
28-3834 | Other | RURAL HEALTH | |
098044 | Other | NE | PTAN SMC |
28-3819 | Other | RURAL HEALTH | |
098043 | Other | NE | PTAN EMC |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | (* (Not Available)) | Primary |
Provider Name | Kristi S Kohl |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1205804143 PECOS PAC ID: 9234105586 Enrollment ID: I20040908000540 |
Provider Name | Todd Michael Fago |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1730195744 PECOS PAC ID: 5193747319 Enrollment ID: I20051230000416 |
Provider Name | Patrick A Hotovy |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1346296001 PECOS PAC ID: 4587692512 Enrollment ID: I20070730000383 |
Provider Name | Gregory N Woods |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1821044066 PECOS PAC ID: 3173551199 Enrollment ID: I20070808000742 |
Provider Name | Joseph C Erwin |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1134172273 PECOS PAC ID: 9537197553 Enrollment ID: I20070810000774 |
Provider Name | Todd W Stuckey |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1154377810 PECOS PAC ID: 7719915735 Enrollment ID: I20100322000845 |
Provider Name | Andrew R. Pohlmeier |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1184918377 PECOS PAC ID: 3577786714 Enrollment ID: I20140515002042 |
Provider Name | Brady A Fickenscher |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1518302157 PECOS PAC ID: 0446483655 Enrollment ID: I20151104001303 |
Provider Name | Jillian M Fickenscher |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1376988972 PECOS PAC ID: 4981837192 Enrollment ID: I20161109001194 |
Provider Name | Abby Rae Scheele |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1265125975 PECOS PAC ID: 6305204959 Enrollment ID: I20230614001888 |
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