| Consultants In Gastroenterology Pc | |
|
6900 L St Ste 1 Lincoln NE 68510-2478 | |
| (402) 441-5619 | |
| (402) 441-5606 |
| Full Name | Consultants In Gastroenterology Pc |
|---|---|
| Speciality | Internal Medicine |
| Location | 6900 L St Ste 1, Lincoln, Nebraska |
| Authorized Official Name and Position | Jodee Hunt (PRACTICE ADMINISTRATOR) |
| Authorized Official Contact | 4024415619 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Consultants In Gastroenterology Pc 6900 L St Ste 1 Lincoln NE 68510-2478 Ph: (402) 441-5600 | Consultants In Gastroenterology Pc 6900 L St Ste 1 Lincoln NE 68510-2478 Ph: (402) 441-5619 |
| NPI Number | 1770635104 |
|---|---|
| Provider Enumeration Date | 01/17/2007 |
| Last Update Date | 12/23/2021 |
| Medicare PECOS PAC ID | 4981658515 |
|---|---|
| Medicare Enrollment ID | O20050308000211 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1770635104 | NPI | - | NPPES |
| 1770635104 | Other | NPI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RG0100X | Internal Medicine - Gastroenterology | (* (Not Available)) | Primary |
| Provider Name | David D Lee |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1184774812 PECOS PAC ID: 1557303567 Enrollment ID: I20050531000539 |
| Provider Name | Denise L Speich |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1023160447 PECOS PAC ID: 6507980166 Enrollment ID: I20100902001076 |
| Provider Name | Ashley Michelle Gormley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1710768734 PECOS PAC ID: 6103269246 Enrollment ID: I20240206002781 |
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