| Kendra A Thiem, PA-C | |
|
2222 South 16th Street, Suite 240, Lincoln, NE 68502-3764 | |
| (402) 323-7260 | |
| (402) 323-7266 |
| Full Name | Kendra A Thiem |
|---|---|
| Gender | Female |
| Speciality | Physician Assistant |
| Experience | 19 Years |
| Location | 2222 South 16th Street, Lincoln, 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 |
|---|---|---|---|
| 1891970620 | NPI | - | NPPES |
| P00634904 | Other | RRM | |
| 255216 | Other | NE | MIDLANDS CHOICE |
| 200593630A | Medicaid | KS | |
| 200593630B | Medicaid | KS | |
| 39367 | Other | NE | BCBS NE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | 15-01367 (Kansas) | Secondary |
| 363A00000X | Physician Assistant | 1354 (Nebraska) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Boone County Health Center | Albion, NE | Hospital |
| Faith Health | Norfolk, NE | Hospital |
| Bryan Medical Center | Lincoln, NE | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| David L Samani Md Inc | 7719066398 | 2 |
| Nmg Llc | 4981632544 | 9 |
| Entity Name | Boone County Health Center |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1669407821 PECOS PAC ID: 1254306178 Enrollment ID: O20040901001284 |
| Entity Name | Bryan Physician Network |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1679528798 PECOS PAC ID: 7315915873 Enrollment ID: O20040922000523 |
| 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 | Antelope Memorial Hospital |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1568501302 PECOS PAC ID: 5496733156 Enrollment ID: O20050223000282 |
| Entity Name | Nmg LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1851470553 PECOS PAC ID: 4981632544 Enrollment ID: O20050803001082 |
| Entity Name | Antelope Memorial Hospital |
|---|---|
| Entity Type | Part A Provider - Critical Access Hospital |
| Entity Identifiers | NPI Number: 1083790893 PECOS PAC ID: 5496733156 Enrollment ID: O20070203000095 |
| Entity Name | David L Samani MD Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1962687756 PECOS PAC ID: 7719066398 Enrollment ID: O20080507000518 |
| Entity Name | Boone County Health Center |
|---|---|
| Entity Type | Part A Provider - Critical Access Hospital |
| Entity Identifiers | NPI Number: 1679508816 PECOS PAC ID: 1254306178 Enrollment ID: O20100830000852 |
| Mailing Address | Practice Location Address |
|---|---|
| Kendra A Thiem, PA-C 2222 South 16th Street, Suite 240, Lincoln, NE 68502-3764 Ph: (402) 323-7260 | Kendra A Thiem, PA-C 2222 South 16th Street, Suite 240, Lincoln, NE 68502-3764 Ph: (402) 323-7260 |
Christina Kay Meyer, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 6969 South St, Lincoln, NE 68506 Phone: 402-413-7460 Fax: 402-413-7486 |
Mr. Gabriel Jefferson, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 5000 N 26th St, Suite 100, Lincoln, NE 68521 Phone: 402-435-5300 |
Mrs. Sharon E Spethman, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 1500 U St, Lincoln, NE 68588 Phone: 402-472-5000 Fax: 402-472-8010 |
Andre N Orduna, PHYSICIAN ASSISTANT Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 7440 S 91st St, Lincoln, NE 68526 Phone: 402-328-3756 Fax: 402-328-3970 |
Mrs. Dan Mai, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 4600 Valley Rd Ste 200, Lincoln, NE 68510 Phone: 402-483-4571 |
Jacklynn A Kment, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 1620 S 70th St Ste 103, Lincoln, NE 68506 Phone: 402-318-3550 Fax: 402-318-3546 |
Mrs. Catherine M Bateman, PA Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 4545 R St, Suite 100, Lincoln, NE 68503 Phone: 402-465-4545 Fax: 402-465-9011 |