| Lifecare Family Medicine Of Bellevue, P.c. | |
|
8074 S. 84th St Lavista NE 68128-3303 | |
| (402) 779-7207 | |
| (402) 779-7210 |
| Full Name | Lifecare Family Medicine Of Bellevue, P.c. |
|---|---|
| Speciality | Family Medicine |
| Location | 8074 S. 84th St, Lavista, Nebraska |
| Authorized Official Name and Position | Brian J Finley (OWNER) |
| Authorized Official Contact | 4027797207 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Lifecare Family Medicine Of Bellevue, P.c. 8074 S. 84th St Lavista NE 68128-3303 Ph: (402) 779-7207 | Lifecare Family Medicine Of Bellevue, P.c. 8074 S. 84th St Lavista NE 68128-3303 Ph: (402) 779-7207 |
| NPI Number | 1841598448 |
|---|---|
| Provider Enumeration Date | 03/05/2011 |
| Last Update Date | 02/26/2025 |
| Medicare PECOS PAC ID | 5193901965 |
|---|---|
| Medicare Enrollment ID | O20110511000558 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1841598448 | NPI | - | NPPES |
| 10025944601 | Medicaid | NE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| 363L00000X | Nurse Practitioner | (* (Not Available)) | Secondary |
| Provider Name | Jeffrey P Kasselman |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1316005366 PECOS PAC ID: 6608822317 Enrollment ID: I20060113000820 |
| Provider Name | Brian J Finley |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1144278482 PECOS PAC ID: 0840332375 Enrollment ID: I20100122000059 |
| Provider Name | Maen M Haddadin |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1316097314 PECOS PAC ID: 3779591599 Enrollment ID: I20160121001078 |
| Provider Name | Peggy Hobus |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1467565036 PECOS PAC ID: 0143245969 Enrollment ID: I20160609001850 |
| Provider Name | Sarah Lm Rawley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1326708330 PECOS PAC ID: 5991199333 Enrollment ID: I20220228001928 |
| Provider Name | Kerry L Takeda |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1811681497 PECOS PAC ID: 8921468430 Enrollment ID: I20230715000551 |
| Provider Name | Rajitha Johnson |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1801005525 PECOS PAC ID: 4880042530 Enrollment ID: I20231120000635 |
| Provider Name | Paula M Dawson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1881310449 PECOS PAC ID: 7012354335 Enrollment ID: I20240322000764 |