| Jed T Hollingsworth, DO | |
|
601 W Leota St, North Platte, NE 69101-6525 | |
| (308) 568-7470 | |
| (308) 535-3441 |
| Full Name | Jed T Hollingsworth |
|---|---|
| Gender | Male |
| Speciality | Diagnostic Radiology |
| Experience | 11 Years |
| Location | 601 W Leota St, North Platte, 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 |
|---|---|---|---|
| 1215348032 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2085R0202X | Radiology - Diagnostic Radiology | 2415 (Nebraska) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Regional West Medical Center | Scottsbluff, NE | Hospital |
| Box Butte General Hospital | Alliance, NE | Hospital |
| Sidney Regional Medical Center | Sidney, NE | Hospital |
| Community Hospital | Mccook, NE | Hospital |
| Community Hospital | Torrington, WY | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Regional West Medical Center | 1759285885 | 22 |
| Regional West Physicians Clinic | 2062301609 | 120 |
| North Platte Nebraska Hospital Corporation | 6507856697 | 199 |
| Entity Name | Regional West Medical Center |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1982718219 PECOS PAC ID: 1759285885 Enrollment ID: O20031120000963 |
| Entity Name | Regional West Physicians Clinic |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1306910534 PECOS PAC ID: 2062301609 Enrollment ID: O20040315001274 |
| Entity Name | Radiology Services, P.c. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1851476436 PECOS PAC ID: 5395710800 Enrollment ID: O20040828000148 |
| Mailing Address | Practice Location Address |
|---|---|
| Jed T Hollingsworth, DO 601 W Leota St, North Platte, NE 69101-6525 Ph: (308) 568-7470 | Jed T Hollingsworth, DO 601 W Leota St, North Platte, NE 69101-6525 Ph: (308) 568-7470 |
Dr. Ladd Daniel Lake, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 601 W Leota St, North Platte, NE 69101 Phone: 308-696-7491 Fax: 308-696-7432 | |
Dr. Todd E Hlavaty, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 601 W Leota St, North Platte, NE 69101 Phone: 308-696-7741 | |
Dr. David Clark Hatch, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 601 W Leota St, North Platte, NE 69101 Phone: 308-647-6444 Fax: 308-647-6433 |