| L.beideck Pc | |
|
3119 S 33rd St Lincoln NE 68506-6102 | |
| (402) 659-3663 | |
| Not Available |
| Full Name | L.beideck Pc |
|---|---|
| Speciality | Counselor |
| Location | 3119 S 33rd St, Lincoln, Nebraska |
| Authorized Official Name and Position | Fred D. Jones (BILLING) |
| Authorized Official Contact | 4023593663 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| L.beideck Pc 3119 S 33rd St Lincoln NE 68506-6102 Ph: (402) 659-3663 | L.beideck Pc 3119 S 33rd St Lincoln NE 68506-6102 Ph: (402) 659-3663 |
| NPI Number | 1538977228 |
|---|---|
| Provider Enumeration Date | 12/26/2024 |
| Last Update Date | 01/22/2025 |
| Certification Date | 01/22/2025 |
| Medicare PECOS PAC ID | 3072042365 |
|---|---|
| Medicare Enrollment ID | O20250131001468 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1538977228 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | (* (Not Available)) | Primary |
| Provider Name | Lynn Beideck |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1508930579 PECOS PAC ID: 7517496813 Enrollment ID: I20250131001576 |
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