Banner Health Physicians West Llc - Medicare Primary Care in Ogallala, NE

Banner Health Physicians West Llc is a medicare enrolled primary clinic (Clinic/center - Multi-specialty) in Ogallala, Nebraska. The current practice location for Banner Health Physicians West Llc is 2601 N Spruce St, Ogallala, Nebraska. For appointments, you can reach them via phone at (308) 284-3645. The mailing address for Banner Health Physicians West Llc is 2901 N Central Ave Ste 160, Phoenix, Arizona and phone number is () -.

Banner Health Physicians West Llc is licensed to practice in * (Not Available) (license number ). The clinic also participates in the medicare program and its NPI number is 1154687812. This medical practice accepts medicare insurance (which means this clinic accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance). However, please confirm if they accept your insurance at (308) 284-3645.

Contact Information

Banner Health Physicians West Llc
2601 N Spruce St
Ogallala
NE 69153-2465
(308) 284-3645
Not Available

Primary Care Clinic Profile

Full NameBanner Health Physicians West Llc
SpecialityClinic/Center
Location2601 N Spruce St, Ogallala, Nebraska
Authorized Official Name and PositionShiva Birdi (CEO BMG)
Authorized Official Contact4802563336
Accepts Medicare InsuranceYes. This clinic participates in medicare program and accept medicare insurance.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Banner Health Physicians West Llc
2901 N Central Ave Ste 160
Phoenix
AZ 85012-2702

Ph: () -
Banner Health Physicians West Llc
2601 N Spruce St
Ogallala
NE 69153-2465

Ph: (308) 284-3645

NPI Details:

NPI Number1154687812
Provider Enumeration Date04/06/2012
Last Update Date04/04/2023

Medicare PECOS Information:

Medicare PECOS PAC ID5092978866
Medicare Enrollment IDO20120629000531

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Medical Identifiers

Medical identifiers for Banner Health Physicians West Llc such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1154687812NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
261QM1300XClinic/center - Multi-specialty (* (Not Available))Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Banner Health Physicians West Llc acts as a billing entity for following providers:
Provider NameMiles Tommeraasen
Provider TypePractitioner - General Surgery
Provider IdentifiersNPI Number: 1295733905
PECOS PAC ID: 2062536873
Enrollment ID: I20100831000985

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Provider NameJessica K Leibhart
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1437387180
PECOS PAC ID: 8729266903
Enrollment ID: I20110620000041

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Provider NameChristopher D Wong
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1972865400
PECOS PAC ID: 3476782749
Enrollment ID: I20160818000875

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Provider TypePractitioner - Pulmonary Disease
Provider IdentifiersNPI Number: 1255301180
PECOS PAC ID: 3072573492
Enrollment ID: I20170919001241

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Provider NameAmy Dawn Hoffman
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1811505431
PECOS PAC ID: 4486071297
Enrollment ID: I20200825002293

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Provider NamePatricia Spencer
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1033347562
PECOS PAC ID: 4880848894
Enrollment ID: I20201204000698

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Enrollment ID: I20210707002795

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Provider NameJames P Duffey
Provider TypePractitioner - Orthopedic Surgery
Provider IdentifiersNPI Number: 1508862152
PECOS PAC ID: 6305827759
Enrollment ID: I20230728000826

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Provider NameThomas Mann
Provider TypePractitioner - Orthopedic Surgery
Provider IdentifiersNPI Number: 1457308447
PECOS PAC ID: 5496653362
Enrollment ID: I20230801004320

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Clinic/Center in Ogallala, NE

Perkins County Hospital District
Primary Care Clinic
Medicare: Medicare Enrolled
Practice Location: 221 E 10th St, Ogallala, NE 69153
Phone: 308-284-8421    
Myc Pc
Primary Care Clinic
Medicare: Not Enrolled in Medicare
Practice Location: 333 E 2nd St, Ogallala, NE 69153
Phone: 308-284-9839    Fax: 308-284-4120
Ncmc Specialty Clinic
Primary Care Clinic
Medicare: Not Enrolled in Medicare
Practice Location: 2601 N Spruce St, Ogallala, NE 69153
Phone: 970-392-0900    
Ogallala Medical Group
Primary Care Clinic
Medicare: Not Enrolled in Medicare
Practice Location: 2601 N Spruce St, Ogallala, NE 69153
Phone: 308-284-3645    
Banner Health Clinic
Primary Care Clinic
Medicare: Medicare Enrolled
Practice Location: 2601 N Spruce St Ste A, Ogallala, NE 69153
Phone: 308-284-3645    Fax: 308-284-2721
Ogallala Community Hospital
Primary Care Clinic
Medicare: Not Enrolled in Medicare
Practice Location: 2601 N Spruce St Ste A, Ogallala, NE 69153
Phone: 308-284-4011    Fax: 308-284-7212

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