| Tim Mason Family Medicine | |
|
5205 2nd Ave Kearney NE 68847-2471 | |
| (308) 440-2983 | |
| Not Available |
| Full Name | Tim Mason Family Medicine |
|---|---|
| Speciality | Clinic/Center |
| Location | 5205 2nd Ave, Kearney, Nebraska |
| Authorized Official Name and Position | Timothy S Mason (OWNER) |
| Authorized Official Contact | 3084402983 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Tim Mason Family Medicine 245 Sunny Ln Gibbon NE 68840-6282 Ph: (308) 440-2983 | Tim Mason Family Medicine 5205 2nd Ave Kearney NE 68847-2471 Ph: (308) 440-2983 |
| NPI Number | 1154047389 |
|---|---|
| Provider Enumeration Date | 10/19/2022 |
| Last Update Date | 12/12/2022 |
| Medicare PECOS PAC ID | 8022488568 |
|---|---|
| Medicare Enrollment ID | O20221228001070 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1154047389 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | (* (Not Available)) | Primary |
| Provider Name | Timothy S Mason |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1992298962 PECOS PAC ID: 1951657519 Enrollment ID: I20180712000424 |
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