| Bruce L Town, PA-C | |
|
812 N 22nd St, Blair, NE 68008-1128 | |
| (402) 426-4611 | |
| (402) 426-4642 |
| Full Name | Bruce L Town |
|---|---|
| Gender | Male |
| Speciality | Physician Assistant |
| Location | 812 N 22nd St, Blair, Nebraska |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1285607036 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363AM0700X | Physician Assistant - Medical | 849 (Nebraska) | Secondary |
| 363A00000X | Physician Assistant | 849 (Nebraska) | Primary |
| Entity Name | Memorial Community Hospital Corporation |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1265408819 PECOS PAC ID: 0749190775 Enrollment ID: O20040202001065 |
| Entity Name | Memorial Community Hospital Corporation |
|---|---|
| Entity Type | Part A Provider - Critical Access Hospital |
| Entity Identifiers | NPI Number: 1265408819 PECOS PAC ID: 0749190775 Enrollment ID: O20071128000030 |
| Mailing Address | Practice Location Address |
|---|---|
| Bruce L Town, PA-C 812 N 22nd St, Blair, NE 68008-1128 Ph: (402) 426-4611 | Bruce L Town, PA-C 812 N 22nd St, Blair, NE 68008-1128 Ph: (402) 426-4611 |
Mark P Christiansen, PAC Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 812 N 22nd St, Blair, NE 68008 Phone: 402-426-4611 Fax: 402-426-4642 |
Lynda D Arnold, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 812 N 22nd St, Blair, NE 68008 Phone: 402-426-4611 Fax: 402-426-4642 |
Cameron J Ourada, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 810 N 22nd St, Blair, NE 68008 Phone: 402-426-1629 Fax: 402-426-1297 |
Matthew D Garris, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 407 S. 19th St, Blair, NE 68008 Phone: 402-533-2223 Fax: 531-301-6272 |
Nicole Kratochvil, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 812 N 22nd St, Blair, NE 68008 Phone: 402-426-4611 Fax: 402-426-4642 |
Ms. Sandra M Henry, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 1659 Washington St, Blair, NE 68008 Phone: 420-533-2223 Fax: 402-301-6272 |
Kimberly S Kurtz, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 812 N 22nd St, Blair, NE 68008 Phone: 402-426-4611 Fax: 402-426-4642 |