Elisabeth L Backer, MD
Individual provider Active NPI Family Medicine Physician · Omaha, NE
NPI 1750348405 · NPPES record last updated Nov 2, 2012
Key facts
- NPI
- 1750348405
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Medicine Physician 207Q00000X
- License
- 19660 (NE)
- Practice address
- 988095 Nebraska Medical Ctr
Omaha, NE 68198-8095 - Phone
- (402) 559-9800
- Fax
- (402) 559-9840
- NPI assigned
- Apr 27, 2006
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 2
Hospital & facility affiliations 3
Medicare Care Compare profile
- Specialty
- Family Practice
- Education
- Other, 1989
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
- Unmc Physicians
Practice addresses (Care Compare)
13325 Millard Ave
Omaha, NE 68137-1744
Phone (531) 559-1050
Emile 42ND St
Omaha, NE 68198-0001
Phone (402) 559-4015
Hospital & facility affiliations
- The Nebraska Medical Center
- Nebraska Orthopaedic Hospital
- Bellevue Medical Center
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of skin lesions | 1-10 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in NE
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20100301000686 | NE | Practitioner - Family Practice | 4183769219 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Unmc Physicians | Current |
Accepting new patients | |
| The Nebraska Medical Center | Past | Accepting new patients |
Locations
988095 Nebraska Medical Ctr
Omaha, NE 68198
988102 Nebraska Medical Ctr
Omaha, NE 68198
Phone (402) 559-5600
Emile 42nd St
Omaha, NE 68198
Phone (402) 552-6731
13325 Millard Ave
Omaha, NE 68137
Phone (531) 559-1050
Interoperability endpoints
- ebacker6008@direct.nebraskamed.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 19660 | NE | Yes |
Addresses
Primary practice location
988095 Nebraska Medical Ctr
Omaha, NE 68198-8095
Mailing address
988095 Nebraska Medical Ctr
Omaha, NE 68198-8095
Phone (402) 559-9800
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 47078557589 | Medicaid | NE |
Other providers in Omaha, NE
- Back to the Basics
- Zoey Margaret Back
- Back2Health Inc
- Anne Marie Backer
- Bridget Backer
- Michael James Backer
- Troy A Backhuus
- Julie Backora
- Timothy James Backora
- Bacome Chiropractic LLC
All providers in Omaha, NE · Family Medicine Physician in Nebraska
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 2, 2012. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.