| Benjamin J Martin, MD | |
|
615 E 14th St, Wayne, NE 68787-1152 | |
| (402) 375-2500 | |
| (402) 375-2463 |
| Full Name | Benjamin J Martin |
|---|---|
| Gender | Male |
| Speciality | Family Medicine |
| Location | 615 E 14th St, Wayne, Nebraska |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1669427613 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 16684 (Nebraska) | Primary |
| Entity Name | Faith Regional Physician Services Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1265489157 PECOS PAC ID: 5193786168 Enrollment ID: O20041022000558 |
| Entity Name | Providence Medical Center |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1801867494 PECOS PAC ID: 4587629928 Enrollment ID: O20041124000342 |
| Mailing Address | Practice Location Address |
|---|---|
| Benjamin J Martin, MD 615 E 14th St, Wayne, NE 68787-1152 Ph: (402) 375-2500 | Benjamin J Martin, MD 615 E 14th St, Wayne, NE 68787-1152 Ph: (402) 375-2500 |
James A. Lindau, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 615 E 14th St, Wayne, NE 68787 Phone: 402-375-2500 Fax: 402-375-2463 | |
Alfred David Felber, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 615 E 14th St, Wayne, NE 68787 Phone: 402-375-2500 Fax: 402-375-2463 | |
Mark O. Mccorkindale, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 615 E 14th St, Wayne, NE 68787 Phone: 402-375-2500 Fax: 402-375-2463 |