| Papillion Family Medicine P C | |
|
555 Fortune Dr Papillion NE 68046-3421 | |
| (402) 502-3600 | |
| (402) 502-3606 |
| Full Name | Papillion Family Medicine P C |
|---|---|
| Speciality | Clinic/Center |
| Location | 555 Fortune Dr, Papillion, Nebraska |
| Authorized Official Name and Position | Robert G Naegele (PRESIDENT) |
| Authorized Official Contact | 4025023600 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Papillion Family Medicine P C 555 Fortune Dr Papillion NE 68046-3421 Ph: (402) 502-3600 | Papillion Family Medicine P C 555 Fortune Dr Papillion NE 68046-3421 Ph: (402) 502-3600 |
| NPI Number | 1083643258 |
|---|---|
| Provider Enumeration Date | 07/01/2006 |
| Last Update Date | 03/21/2024 |
| Medicare PECOS PAC ID | 2062486301 |
|---|---|
| Medicare Enrollment ID | O20040823001343 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1083643258 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (Nebraska) | Primary |
| Provider Name | Edward M Mantler |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1811926041 PECOS PAC ID: 3274659560 Enrollment ID: I20100923000993 |
| Provider Name | Robert G Naegele |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1356346084 PECOS PAC ID: 3870619166 Enrollment ID: I20100923001039 |
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