Benjamin Thayer, MD
Individual provider Active NPI Family Medicine Physician · Lincoln, NE
NPI 1780979195 · NPPES record last updated Mar 17, 2018
Key facts
- NPI
- 1780979195
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Medicine Physician 207Q00000X
- License
- 27378 (NE)
- Practice address
- 1240 Aries Dr
Lincoln, NE 68512-9100 - Phone
- (402) 420-1300
- Fax
- (402) 420-1326
- NPI assigned
- Jun 14, 2011
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 9
Hospital & facility affiliations 3
Owned or controlled facilities with NPI records 5
Medicare Care Compare profile
- Specialty
- Family Practice
- Education
- University of Nebraska College of Medicine, 2011
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Beatrice Community Hospital and Health Center Inc
Practice addresses (Care Compare)
PO Box
Suite 278
Beatrice, NE 68310-0278
Hospital & facility affiliations
- Good Samaritan Society Home Care of Southeast NE
- Beatrice Community Hospital & Health Center, Inc
- Beatrice Health and Rehabilitation
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
All facility ownership & control disclosures 5
| Facility | Type | Role | Since |
|---|---|---|---|
| Beatrice Community Hospital & Health Center Inc |
Hospital | Corporate Director | Jan 1, 2021 |
| Beatrice Community Hospital & Health Center Inc |
Hospital | Corporate Director | Jan 1, 2021 |
| Wymore Medical Clinic |
Rural health clinic | Corporate Director | Jan 1, 2022 |
| The Beatrice Women'S and Children'S Clinic |
Rural health clinic | Corporate Director | Jan 1, 2021 |
| Beatrice Family and Internal Medicine |
Rural health clinic | Corporate Director | Jan 1, 2021 |
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20131109000528 | NE | Practitioner - Family Practice |
9830324318 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| TEP6487 | NJ | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Johnson County Hospital | Current | Accepting new patients | |
| Beatrice Community Hospital & Health Center Inc | Current |
Accepting new patients | |
| Lincoln Physician Network LLC | Past | Accepting new patients | |
| Beatrice Community Hospital & Health Center Inc | Past | Accepting new patients |
Locations
4800 Hospital Pkwy
Beatrice, NE 68310
Phone (402) 228-3344
202 High St
Tecumseh, NE 68450
Phone (402) 274-4373
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | TEP6487 | NJ | |
| Family Medicine Physician | 207Q00000X | 27378 | NE | Yes |
Addresses
Primary practice location
1240 Aries Dr
Lincoln, NE 68512-9100
Mailing address
1240 Aries Dr
Lincoln, NE 68512-9100
Phone (402) 420-1300
Other practice location 1
4600 Valley Rd
Ste 200
Lincoln, NE 68510-4855
Phone (402) 483-4571
Other providers in Lincoln, NE
- Tra Thi Thach
- Douglas Thacker
- Cheryl Ann Thaller
- Mar Lar Than
- Eh Kaw Thaw
- Elizabeth Thayer
- Heather Victoria Thayer
- Sernay Thayusoe
- The Ambassador Lincoln
- The Ambassador Lincoln, Inc.
All providers in Lincoln, 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 Mar 17, 2018. 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.
- CMS facility enrollments, All Owners and change-of-ownership files: CCNs, owners and managing parties.
- Provider of Services files (CMS): certification status, beds and related CCNs.
- 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.