| Jaci Rae Dietz, | |
|
816 22nd Ave Ste 100, Kearney, NE 68845-2226 | |
| (308) 865-2263 | |
| (308) 865-2541 |
| Full Name | Jaci Rae Dietz |
|---|---|
| Gender | Female |
| Speciality | Physician Assistant |
| Experience | 1 Years |
| Location | 816 22nd Ave Ste 100, Kearney, 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 |
|---|---|---|---|
| 1063258788 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | 3364 (Nebraska) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Kearney Regional Medical Center | Kearney, NE | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Bryan Hospital Kearney | 5991195547 | 116 |
| Entity Name | Bryan Hospital Kearney |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1033875380 PECOS PAC ID: 5991195547 Enrollment ID: O20211214002678 |
| Mailing Address | Practice Location Address |
|---|---|
| Jaci Rae Dietz, 816 22nd Ave Ste 100, Kearney, NE 68845-2226 Ph: (308) 865-2263 | Jaci Rae Dietz, 816 22nd Ave Ste 100, Kearney, NE 68845-2226 Ph: (308) 865-2263 |
Bruce Lynn Kohtz, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 2810 W 35th St, Kearney, NE 68845 Phone: 308-865-2570 Fax: 308-865-2508 |
Kati Renae Moore, Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 10 E 31st St, Kearney, NE 68847 Phone: 308-737-5284 |
Amy Martinez, P.A. Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 3219 Central Ave, Kearney, NE 68847 Phone: 308-865-2808 |
Rebecca Houser, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 2232 Chancellors Ave, Kearney, NE 68845 Phone: 308-865-2303 |
Jordan J Grooms, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 2810 W 35th St Ste 1, Kearney, NE 68845 Phone: 308-865-2570 Fax: 308-865-2508 |
Kelly Marie Stevenson, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 804 22nd Ave, Kearney, NE 68845 Phone: 308-455-3600 Fax: 308-455-3950 |
Tara Z Stecklein, P.A.-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 620 East 25th Street, Kearney, NE 68847 Phone: 308-865-2767 Fax: 308-865-2765 |