Rebecca L Allard, MD
Individual provider Active NPI Family Medicine Physician · Sidney, NE
NPI 1821064635 · NPPES record last updated Oct 11, 2017
Key facts
- NPI
- 1821064635
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Medicine Physician 207Q00000X
- License
- 25260 (NE)
- Practice address
- 1000 Pole Creek Xing Ste 1
Sidney, NE 69162-2902 - Phone
- (308) 254-5544
- Fax
- (308) 254-7258
- NPI assigned
- Feb 23, 2006
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 6
Hospital & facility affiliations 2
Owned or controlled facilities with NPI records 3
Medicare Care Compare profile
- Specialty
- Family Practice
- Education
- University of Kansas School of Med (KC/Wich/Sal), 2004
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Cheyenne County Hospital Association Inc
Practice addresses (Care Compare)
1000 Pole Creek Xing
Sidney, NE 69162-2900
1000 Pole Creek Xing
Sidney, NE 69162-2901
Phone (308) 254-5825
Hospital & facility affiliations
- Sidney Regional Medical Center
- Regional West Medical Center
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 3
| Facility | Type | Role | Since |
|---|---|---|---|
| Sidney Regional Medical Center |
Hospital | Corporate Director | Jan 1, 2017 |
| Sidney Regional Medical Center Physicians Clinic |
Rural health clinic | Corporate Director W-2 Managing Employee Operational/Managerial Control |
Jan 1, 2017 Nov 11, 2017 Nov 11, 2017 |
| Sidney Regional Medical Center Walk in Clinic |
Rural health clinic | Corporate Director W-2 Managing Employee Operational/Managerial Control |
Jan 1, 2017 Nov 1, 2019 Nov 1, 2019 |
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20130827000575 | NE | Practitioner - Family Practice |
9335114982 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 25260 | NE | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Cheyenne County Hospital Association | Current |
Accepting new patients | |
| Cheyenne County Hospital Association Inc | Current |
Accepting new patients | |
| SRMC Long Term Care LLC | Past | Accepting new patients | |
| Great Plains of Cheyenne Co. Inc | Past | Accepting new patients |
Locations
645 Osage St
Sidney, NE 69162
Phone (308) 254-5825
1000 Pole Creek Xing
Sidney, NE 69162
Phone (308) 254-5825
1000 Pole Creek Xing
Ste 1
Sidney, NE 69162
Phone (308) 254-5544
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 25260 | NE | Yes |
Addresses
Primary practice location
1000 Pole Creek Xing Ste 1
Sidney, NE 69162-2902
Mailing address
1000 Pole Creek Crossing
Sidney, NE 69162-2900
Phone (308) 254-5825
Other names
- Miss Rebecca L Lyon
Other providers in Sidney, NE
- Jovanna Acosta
- Margaret Ann Adams
- Rebecca Adams
- Amber Adamson
- Heather Dawn Allen
- Felecia Allridge
- Karina Del Rocio Almeyda Obregon
- Ashlee Renee Anderson
- Cynthia Lynn Anderson
All providers in Sidney, 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 Oct 11, 2017. 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.