| David Brian Wiltfong, MD | |
|
5500 Pine Lake Rd, Lincoln, NE 68516-3389 | |
| (402) 489-8888 | |
| (402) 421-1945 |
| Full Name | David Brian Wiltfong |
|---|---|
| Gender | Male |
| Speciality | Urology |
| Experience | 33 Years |
| Location | 5500 Pine Lake Rd, Lincoln, Nebraska |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1467475731 | NPI | - | NPPES |
| 340015315 | Other | RR MEDICARE | |
| 01240 | Other | BLUE CROSS BLUE SHIELD | |
| 200396660A | Medicaid | IN | |
| 100406410A | Medicaid | KS | |
| 0230045 | Medicaid | IA | |
| 1900097 | Other | UNITED HEALTH CARE | |
| 7582 | Other | MIDLANDS CHOICE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208800000X | Urology | 20738 (Nebraska) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Butler County Health Care Center | David city, NE | Hospital |
| Bryan Medical Center | Lincoln, NE | Hospital |
| Lincoln Surgical Hospital | Lincoln, NE | Hospital |
| Chi Health St. Elizabeth | Lincoln, NE | Hospital |
| The Nebraska Medical Center | Omaha, NE | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Nebraska Urology Pc | 1951372937 | 20 |
| Entity Name | Nebraska Urology Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1356364335 PECOS PAC ID: 1951372937 Enrollment ID: O20040804001792 |
| Entity Name | Butler County Health Care Center |
|---|---|
| Entity Type | Part A Provider - Critical Access Hospital |
| Entity Identifiers | NPI Number: 1790780237 PECOS PAC ID: 9739281106 Enrollment ID: O20070305000113 |
| Entity Name | Butler County Health Care Center |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1790780237 PECOS PAC ID: 9739281106 Enrollment ID: O20200523000123 |
| Mailing Address | Practice Location Address |
|---|---|
| David Brian Wiltfong, MD 5500 Pine Lake Rd, Lincoln, NE 68516-3389 Ph: (402) 489-8888 | David Brian Wiltfong, MD 5500 Pine Lake Rd, Lincoln, NE 68516-3389 Ph: (402) 489-8888 |
Peter Elbridge Howe, MD Urology Medicare: Not Enrolled in Medicare Practice Location: 5500 Pine Lake Road, Lincoln, NE 68516 Phone: 402-489-8888 Fax: 402-421-1945 | |
Dr. Lance Wiebusch, MD Urology Medicare: Accepting Medicare Assignments Practice Location: 5500 Pine Lake Rd, Lincoln, NE 68516 Phone: 402-489-8888 Fax: 402-421-1945 | |
Richard Allen Crusinberry, MD Urology Medicare: Not Enrolled in Medicare Practice Location: 5500 Pine Lake Rd, Lincoln, NE 68516 Phone: 402-489-8888 Fax: 402-421-1945 | |
Dr. Jonathan R Henning, M.D. Urology Medicare: Accepting Medicare Assignments Practice Location: 5500 Pine Lake Rd, Urology Pc, Lincoln, NE 68516 Phone: 402-489-8888 Fax: 402-421-1945 | |
Dr. Tara Michele Kirkpatrick, MD Urology Medicare: Accepting Medicare Assignments Practice Location: 5500 Pine Lake Rd, Lincoln, NE 68516 Phone: 402-489-8888 Fax: 402-421-1945 | |
Dr. Antonio J Beltran, MD Urology Medicare: Accepting Medicare Assignments Practice Location: 4101 Tiger Lily Rd Ste 100, Lincoln, NE 68516 Phone: 402-420-7000 Fax: 402-420-6969 |