Skin PC
A Medicare group practice based in Elkhorn, NE: 2 NPIs enrolled under one PECOS associate control ID (PAC ID 4486831740), with 4 clinicians.
Medicare enrollment
Medicare enrollment files- PAC ID
- 4486831740
- Provider type
- Part B Supplier - Clinic/Group Practice
- Enrolled in
- NE
- Enrollments
- 1
- Group size
- 3 clinicians
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Practice locations
- 2
Enrollment records 1
| Enrollment ID | State | Provider type | NPI |
|---|---|---|---|
| O20110614000400 | NE | Part B Supplier - Clinic/Group Practice | 1134410764 |
NPIs in this group 2
NPPES NPI RegistryThese NPI records belong to the same enrolled organization. Each has its own page.
Practice locations
- Fremont, NE1
- Elkhorn, NE1
Clinicians 4
Clinicians who reassign their Medicare benefits to this group (4) or whom Care Compare lists as members (3).
-
Doralia Yanely Flores, FNP
- Nurse Practitioner
- Fremont, NE
- NPI 1629676044
-
Chad Michael Hillyer, PA-C
- Dermatology Physician
- Elkhorn, NE
- NPI 1902825904
-
Courtney Mares, PA-C
- Physician Assistant
- Lincoln, NE
- NPI 1639783665
-
Brant Ridder
- Physician Assistant
- Fremont, NE
- NPI 1295469336
Sources for this page
- Medicare Fee-For-Service Public Provider Enrollment: the enrollments, PAC ID, practice locations and benefit reassignments.
- Care Compare Doctors and Clinicians: group membership, group size and the name CMS shows patients.
- NPPES NPI Registry: the names and addresses of the NPIs above.