Proactive Wound Care Ne Inc is a medicare enrolled "Nurse Practitioner" provider in Lincoln, Nebraska. Their current practice location is
650 J St Ste 405, Lincoln, Nebraska. You can reach out to their office (for appointments etc.) via phone at
(801) 815-6500.
Proactive Wound Care Ne Inc is licensed to practice in * (Not Available) (license number ) and it also participates in the medicare program. Proactive Wound Care Ne Inc
is enrolled with medicare and should accept medicare assignments and since they are enrolled in medicare, they may order Medicare Part D Prescription drugs, if eligible. The facility's NPI Number is 1134943780.
Healthcare Provider's Profile
| Full Name | Proactive Wound Care Ne Inc |
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| Type | Facility |
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| Speciality | Nurse Practitioner |
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| Location | 650 J St Ste 405, Lincoln, Nebraska |
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| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1134943780
- Provider Enumeration Date: 11/11/2024
- Last Update Date: 11/11/2024
Medicare PECOS Information:
- PECOS PAC ID: 1759807977
- Enrollment ID: O20250430000977
Medical Identifiers
Medical identifiers for Proactive Wound Care Ne Inc such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1134943780 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 213E00000X | Podiatrist | (* (Not Available)) | Secondary |
| 363L00000X | Nurse Practitioner | (* (Not Available)) | Primary |
Medicare Reassignments
Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works.
Proactive Wound Care Ne Inc acts as a billing entity for following providers:
| Provider Name | Nathan Brian Payne |
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| Provider Type | Practitioner - Podiatry |
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| Provider Identifiers | NPI Number: 1760845473 PECOS PAC ID: 5193018976 Enrollment ID: I20250430003291 |
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| Provider Name | Bryan Joseph Williams |
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| Provider Type | Practitioner - Podiatry |
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| Provider Identifiers | NPI Number: 1508215179 PECOS PAC ID: 1456688936 Enrollment ID: I20250430003437 |
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Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Proactive Wound Care Ne Inc is
enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
Proactive Wound Care Ne Inc Po Box 607, Centerville, UT 84014-0607 Ph: (801) 815-6500 | Proactive Wound Care Ne Inc 650 J St Ste 405, Lincoln, NE 68508-2924 Ph: (801) 815-6500 |
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