Lincoln Medical Education Partnership
Organization Active NPI Family Medicine Physician · Lincoln, NE
NPI 1891703708 · NPPES record last updated Aug 26, 2020
Key facts
- NPI
- 1891703708
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Family Medicine Physician 207Q00000X
- Legal business name
- LINCOLN MEDICAL EDUCATION PARTNERSHIP
- Practice address
- 4600 Valley Rd
Ste 200
Lincoln, NE 68510-4844 - Phone
- (402) 483-4571
- Fax
- (402) 483-5079
- NPI assigned
- Aug 4, 2006
- Organization subpart
- No
Authorized official
- Name
- Brenda Bacon
- Title
- Office Manager
- Phone
- (402) 483-4571
Practitioners 42
-
Robin A Hinrichs, LPC, LIMHP
-
Jeffery R Hollis, M.D.
-
Dan Mai, PA
-
Stephanie Jean McNichols, MA, PLMHP, PLDAC
-
Eddie J Pierce, MD
-
Beth A Sanley, MD
-
Douglas J States, MD
-
Andrew Cook, PA
-
Wade Fornander, M.D.
-
Alex Richard Kuta, PA-C
-
Andrew C Bohart, MD
-
Vicki Payzant Black, L. AC.
-
Jamie Nicole Corder, PLADC
-
Timothy J Dalton, MD
-
Mary F Flood, PHD
-
Joseph M Hermsen, MD
-
David Isom, M.D.
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in NE
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20050201000578 | NE | Part B Supplier - Clinic/Group Practice | 4880645407 |
Receives reassigned benefits from 19 practitioners Practice locations: Lincoln, NE |
National Provider Directory
Locations
4600 Valley Rd
Ste 223
Lincoln, NE 68510
Phone (402) 327-6821
4600 Valley Rd
Ste 2
Lincoln, NE 68510
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician |
207Q00000X | Yes |
Addresses
Primary practice location
4600 Valley Rd
Ste 200
Lincoln, NE 68510-4844
Mailing address
4600 Valley Rd
Ste 200
Lincoln, NE 68510-4844
Phone (402) 483-4571
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 092776 | Other | CLINIC # | |
| CE8684 | Other | RAILROAD MEDICARE |
Other names
- Lincoln Family Medicine Center
Other providers in Lincoln, NE
- Lincoln Lancaster County Child Advocacy Center
- Lincoln Light My Life Counseling, LLC
- Lincoln Lymphedema and Occupational Therapy, LLC
- Lincoln Medical Education Partnership
- Lincoln Medical Education Partnership
- Lincoln Medical Equipment, Inc
- Lincoln Medical Supplies
- Lincoln Mosaic Therapy & Consulting
- Lincoln NE Homecare LLC
- Lincoln Nephrology & Hypertension PC
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 Aug 26, 2020. 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.