Cozad Community Medical Clinic - Medicare Primary Care in Cozad, NE

Cozad Community Medical Clinic is a medicare enrolled primary clinic (Clinic/center - Rural Health) in Cozad, Nebraska. The current practice location for Cozad Community Medical Clinic is 1803 Papio Ln, Cozad, Nebraska. For appointments, you can reach them via phone at (308) 784-3535. The mailing address for Cozad Community Medical Clinic is Po Box 86, Cozad, Nebraska and phone number is (308) 784-3535.

Cozad Community Medical Clinic is licensed to practice in * (Not Available) (license number ). The clinic also participates in the medicare program and its NPI number is 1528159308. 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) 784-3535.

Contact Information

Cozad Community Medical Clinic
1803 Papio Ln
Cozad
NE 69130-1138
(308) 784-3535
(308) 784-3534

Primary Care Clinic Profile

Full NameCozad Community Medical Clinic
SpecialityClinic/Center
Location1803 Papio Ln, Cozad, Nebraska
Authorized Official Name and PositionRobert J Dyer (CEO)
Authorized Official Contact3087842261
Accepts Medicare InsuranceYes. This clinic participates in medicare program and accept medicare insurance.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Cozad Community Medical Clinic
Po Box 86
Cozad
NE 69130-0086

Ph: (308) 784-3535
Cozad Community Medical Clinic
1803 Papio Ln
Cozad
NE 69130-1138

Ph: (308) 784-3535

NPI Details:

NPI Number1528159308
Provider Enumeration Date09/27/2006
Last Update Date07/08/2022

Medicare PECOS Information:

Medicare PECOS PAC ID6507810389
Medicare Enrollment IDO20050303001046

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Medical Identifiers

Medical identifiers for Cozad Community Medical Clinic such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1528159308NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207Q00000XFamily Medicine (* (Not Available))Secondary
261Q00000XClinic/center (Nebraska)Secondary
261QR1300XClinic/center - Rural Health (* (Not Available))Primary
363L00000XNurse Practitioner (* (Not Available))Secondary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Cozad Community Medical Clinic acts as a billing entity for following providers:
Provider NameKristine Walahoski
Provider TypePractitioner - Registered Dietitian Or Nutrition Professional
Provider IdentifiersNPI Number: 1831255637
PECOS PAC ID: 4385537505
Enrollment ID: I20040203000455

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Provider NamePatrick G Wetovick
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1588680953
PECOS PAC ID: 5092856302
Enrollment ID: I20100108000671

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Provider NameJack Richard Cole
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1679593933
PECOS PAC ID: 5799827598
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Provider NameStephen G Nemeth
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1972529337
PECOS PAC ID: 6507908308
Enrollment ID: I20100115000867

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Provider NameJeffery Todd Merz
Provider TypePractitioner - General Surgery
Provider IdentifiersNPI Number: 1750465548
PECOS PAC ID: 7618079120
Enrollment ID: I20100721000290

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Provider NameKristi Denise Follmer
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Clinic/Center in Cozad, NE


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