| Williamsburg Family Physicians P.c. | |
|
6041 Village Dr Suite 130 Lincoln NE 68516-6619 | |
| (402) 423-1382 | |
| (402) 423-3590 |
| Full Name | Williamsburg Family Physicians P.c. |
|---|---|
| Speciality | Clinic/Center |
| Location | 6041 Village Dr, Lincoln, Nebraska |
| Authorized Official Name and Position | Richard J Jirovec (OWNER) |
| Authorized Official Contact | 4024231382 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Williamsburg Family Physicians P.c. 6041 Village Dr Suite 130 Lincoln NE 68516-6619 Ph: (402) 423-1382 | Williamsburg Family Physicians P.c. 6041 Village Dr Suite 130 Lincoln NE 68516-6619 Ph: (402) 423-1382 |
| NPI Number | 1366406928 |
|---|---|
| Provider Enumeration Date | 04/12/2006 |
| Last Update Date | 01/20/2011 |
| Medicare PECOS PAC ID | 7618928664 |
|---|---|
| Medicare Enrollment ID | O20050207000768 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1366406928 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | 17216 (Nebraska) | Primary |
| 261QP2300X | Clinic/center - Primary Care | 356 (Nebraska) | Secondary |
| Provider Name | Bart G Bellamy |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1609826080 PECOS PAC ID: 6204876824 Enrollment ID: I20050503001067 |
| Provider Name | Taylor Mowinkel |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1619544426 PECOS PAC ID: 3072917863 Enrollment ID: I20210731000317 |
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