MEDICARE: MATHIEU LANE HINZE MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	208200000X	Plastic Surgery Physician	15894	NE

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
2	P00230083	OTHER		RR MEDICARE PERFORMING #
7	CG2908	OTHER		RAILROAD MEDICARE GROUP #

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3	1300171	OTHER	UNITED HEALTH CARE
4	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
5	07373	OTHER	BLUE CROSS BLUE SHIELD
6	247054	OTHER	MIDLANDS CHOICE PPO

General Provider Information

NPI Number	:	1104845148
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MATHIEU LANE HINZE MD

Provider Business Mailing Address
First Line	:	4400 LUCILE DR STE 103
Second Line	:
City	:	LINCOLN
State	:	NE
Zip	:	68516-4211
Country	:	US
Telephone Number	:	402-483-2572
Fax Number	:	402-483-2619

Provider Business Practice Location Address
First Line	:	4400 LUCILE DR STE 103
Second Line	:
City	:	LINCOLN
State	:	NE
Zip	:	68516-4211
Country	:	US
Telephone Number	:	402-483-2572
Fax Number	:	402-483-2619

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/19/2006
Last Update Date	:	03/01/2022

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Directions to “ MATHIEU LANE HINZE MD” Practice Location

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