| Mark O Mccorkindale, MD | |
|
615 E 14th St, Wayne, NE 68787-1152 | |
| (402) 375-2500 | |
| (402) 375-2463 |
| Full Name | Mark O Mccorkindale |
|---|---|
| Gender | Male |
| Speciality | Family Practice |
| Experience | 33 Years |
| Location | 615 E 14th St, Wayne, 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 |
|---|---|---|---|
| 1679528616 | NPI | - | NPPES |
| 17827 | Other | IA | WELLMARK BCBS - MAPLE VAL |
| 7085498 | Medicaid | NE | |
| 8085498 | Medicaid | IA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 19231 (Nebraska) | Primary |
| 207Q00000X | Family Medicine | 29362 (Iowa) | Secondary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Providence Hospice | Wayne, NE | Hospice |
| Providence Medical Center | Wayne, NE | Hospital |
| Faith Regional Health Services | Norfolk, NE | Hospital |
| Wayne Countryview Care And Rehabilitation | Wayne, NE | Nursing home |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Faith Regional Physician Services Llc | 5193786168 | 166 |
| 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 |
|---|---|
| Mark O Mccorkindale, MD Po Box 328, Sioux City, IA 51102-0328 Ph: (712) 279-5830 | Mark O Mccorkindale, 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 | |
Benjamin J Martin, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 615 E 14th St, Wayne, NE 68787 Phone: 402-375-2500 Fax: 402-375-2463 |