MEDICARE: HEAD AND NECK SURGICAL PARTNERS LLC

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	261QA1903X	Ambulatory Surgical Clinic/Center	ASC022	NE

General Provider Information

NPI Number	:	1891875175
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	HEAD AND NECK SURGICAL PARTNERS LLC

Provider Business Mailing Address
First Line	:	1500 S 48TH ST
Second Line	:	STE 201
City	:	LINCOLN
State	:	NE
Zip	:	68506-1277
Country	:	US
Telephone Number	:	402-488-5812
Fax Number	:	402-488-1356

Provider Business Practice Location Address
First Line	:	1500 S 48TH ST
Second Line	:	STE 201
City	:	LINCOLN
State	:	NE
Zip	:	68506-1277
Country	:	US
Telephone Number	:	402-488-5812
Fax Number	:	402-488-1356

Authorized Official
Title or Position	:	BOARD OF MANAGERS
Name	:	DANA P WOLFE
Credential	:	MD
Telephone Number	:	402-484-4974

Provider Enumeration Date	:	10/17/2006
Last Update Date	:	10/24/2017

Similar Medicare Providers

1184153033 — EVA E GEBEL AUD
Practice Location Address:

1500 S 48TH ST STE 200
LINCOLN, NE
68506-1277

Practice Phone: 402-488-5600
Practice Fax: 402-488-7649

1356532782 — DIALYSIS CENTER OF LINCOLN INC
Practice Location Address:

5355 S 16TH ST
LINCOLN, NE
68512-1277

Practice Phone: 402-742-8500
Practice Fax: 402-328-9210

1629252770 — HOME DIALYSIS OF LINCOLN, LLC
Practice Location Address:

5355 S 16TH ST
LINCOLN, NE
68512-1277

Practice Phone: 402-489-5339
Practice Fax: 402-489-7366

1376220053 — ABIDA TARIQ PHARMACIST
Practice Location Address:

6374 N LINCOLN AVE STE 101
CHICAGO, IL
60659-1277

Practice Phone: 773-262-6800
Practice Fax: 773-564-9717

1962395103 — BARAKAT KIRET MHKO
Practice Location Address:

3425 RENEGADE BLVD
LINCOLN, NE
68507-1277

Practice Phone: 402-484-1042
Practice Fax:

1447121116 — LEE L BUI
Practice Location Address:

4111 PAXTON CIR
LINCOLN, NE
68521-1277

Practice Phone: 402-417-6150
Practice Fax:

Directions to “HEAD AND NECK SURGICAL PARTNERS LLC ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.