| Bellevue Primary Healthcare Pc | |
|
12717 S 28th Ave Bellevue NE 68123-3232 | |
| (402) 525-6976 | |
| Not Available |
| Full Name | Bellevue Primary Healthcare Pc |
|---|---|
| Speciality | Clinic/Center |
| Location | 12717 S 28th Ave, Bellevue, Nebraska |
| Authorized Official Name and Position | Kelli Rae Pavlish (NURSE PRACTITIONER) |
| Authorized Official Contact | 4025256976 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Bellevue Primary Healthcare Pc 703 Canyon Rd Bellevue NE 68005-2735 Ph: (402) 525-6976 | Bellevue Primary Healthcare Pc 12717 S 28th Ave Bellevue NE 68123-3232 Ph: (402) 525-6976 |
| NPI Number | 1497091888 |
|---|---|
| Provider Enumeration Date | 12/12/2012 |
| Last Update Date | 12/12/2012 |
| Medicare PECOS PAC ID | 2860639051 |
|---|---|
| Medicare Enrollment ID | O20130507000450 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1497091888 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | 111265 (Nebraska) | Primary |
| Provider Name | Douglas R Penington |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1679634588 PECOS PAC ID: 4688667520 Enrollment ID: I20040406000963 |
| Provider Name | Alan D Jensen |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1053495614 PECOS PAC ID: 8628001054 Enrollment ID: I20050915000449 |
| Provider Name | Jeffrey P Kasselman |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1316005366 PECOS PAC ID: 6608822317 Enrollment ID: I20060113000820 |
| Provider Name | Rebecca L Newberry |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1568665206 PECOS PAC ID: 4183712110 Enrollment ID: I20071108000509 |
| Provider Name | Kimberly Kay Harm |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1477535730 PECOS PAC ID: 0749366722 Enrollment ID: I20080401000301 |
| Provider Name | Latrice Diann Martin |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1932439205 PECOS PAC ID: 8426230848 Enrollment ID: I20110307000634 |
| Provider Name | Kelli R Pavlish |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1255611059 PECOS PAC ID: 1052588902 Enrollment ID: I20120118000518 |
| Provider Name | Robert J Langenfeld |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1275573875 PECOS PAC ID: 8628123031 Enrollment ID: I20150923000912 |
| Provider Name | Maen M Haddadin |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1316097314 PECOS PAC ID: 3779591599 Enrollment ID: I20160121001078 |
| Provider Name | Amy Jo Lyon |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1538684535 PECOS PAC ID: 5193078749 Enrollment ID: I20181029000933 |
| Provider Name | Virginia R Gallagher |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1932374014 PECOS PAC ID: 1951473610 Enrollment ID: I20181206002309 |
| Provider Name | Brenda L Herrod |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1194193029 PECOS PAC ID: 9133528482 Enrollment ID: I20210519000649 |
| Provider Name | Valerie L Height |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1548856750 PECOS PAC ID: 8729477310 Enrollment ID: I20211122000498 |
| Provider Name | Kyleen Schmoker |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1164187811 PECOS PAC ID: 2163812496 Enrollment ID: I20211201000574 |
Roy W.holeyfield Jr. M.d. P.c. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 12717 S 28th Ave, Bellevue, NE 68123 Phone: 402-991-7071 Fax: 402-292-7465 | |
The Family Doc, Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 2211 Capehart Rd Ste 103, Bellevue, NE 68123 Phone: 402-933-4111 Fax: 402-934-4111 | |
Twin Creeks Physical Therapy Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 3802 Raynor Pkwy Ste 201, Bellevue, NE 68123 Phone: 402-449-5800 | |
Dfas-jfll/in Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 4005 Raynor Pkwy Apt 3316, Bellevue, NE 68123 Phone: 210-862-0632 | |
Oneworld Community Health Centers, Inc. Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 2207 Georgia Ave, Bellevue, NE 68005 Phone: 402-502-8855 Fax: 402-502-8854 | |
Family Health And Wellness, P.c. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1103 Galvin Rd S, Area B, Bellevue, NE 68005 Phone: 402-292-7400 Fax: 402-292-7401 |