| Julie A Theis, MD | |
|
525 E 11th St, Superior, NE 68978-1101 | |
| (402) 879-4781 | |
| (402) 879-3365 |
| Full Name | Julie A Theis |
|---|---|
| Gender | Female |
| Speciality | Family Practice |
| Experience | 25 Years |
| Location | 525 E 11th St, Superior, Nebraska |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1295712842 | NPI | - | NPPES |
| 47038801213 | Medicaid | NE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 21928 (Nebraska) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Brodstone Memorial Hosp | Superior, NE | Hospital |
| The Nebraska Medical Center | Omaha, NE | Hospital |
| Good Samaritan Society - Superior | Superior, NE | Nursing home |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Brodstone Memorial Hospital | 4082513015 | 9 |
| Entity Name | Brodstone Memorial Hospital |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1073590626 PECOS PAC ID: 4082513015 Enrollment ID: O20040423000949 |
| Entity Name | Brodstone Memorial Hospital |
|---|---|
| Entity Type | Part A Provider - Critical Access Hospital |
| Entity Identifiers | NPI Number: 1306842604 PECOS PAC ID: 4082513015 Enrollment ID: O20061215000097 |
| Mailing Address | Practice Location Address |
|---|---|
| Julie A Theis, MD Po Box 407, Superior, NE 68978-0407 Ph: (402) 879-4781 | Julie A Theis, MD 525 E 11th St, Superior, NE 68978-1101 Ph: (402) 879-4781 |
Raymond D. Heller, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 510 E 10th St, Superior, NE 68978 Phone: 402-879-3281 Fax: 402-879-3401 | |
April R Vonderfecht, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 520 E 10th St, Superior, NE 68978 Phone: 402-879-3281 | |
Robert G Leibel, M.D. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 525 E 11th St, Superior, NE 68978 Phone: 402-879-4781 Fax: 402-879-3365 |