BEAU JAMES CONDIE DO
NPI 1265069462
Student in an Organized Health Care Education/Training Program in Omaha, NE
NPI Status: Active since March 26, 2020
Contact Information
1319 LEAVENWORTH ST
OMAHA, NE
ZIP 68102
Phone: (402) 552-3222
Fax: (402) 552-2172
- Individual
- Male
- Years of Experience 3
- Student in an Organized Health Care Educ...
- Accepts Insurance
- Accepts Medicare Approved Payment
- PECOS Enrolled
About BEAU CONDIE
This page provides the complete NPI Profile along with additional information for Beau Condie, a primary care provider established in Omaha, Nebraska with a medical specialization in Student In An Organized Health Care Education/training Program and more than 3 years of experience. The healthcare provider is registered in the NPI registry with number 1265069462 assigned on March 2020. The practitioner's primary taxonomy code is 390200000X. The provider is registered as an individual and his NPI record was last updated 5 years ago.
- NPI
- 1265069462
- Provider Name
- BEAU JAMES CONDIE DO
- Gender
- Male
- Entity Type
- Individual
- Location Address
- 1319 LEAVENWORTH ST OMAHA, NE 68102
- Location Phone
- (402) 552-3222
- Location Fax
- (402) 552-2172
- Mailing Address
- 1319 LEAVENWORTH ST OMAHA, NE 68102
- Mailing Phone
- (402) 552-3222
- Mailing Fax
- (402) 552-2172
- Medical School Name
- OTHER
- Graduation Year
- 2023
- Is Sole Proprietor?
- No
- Enumeration Date
- 03-26-2020
- Last Update Date
- 03-26-2020
- Code Navigator
A primary care provider (PCP) like Beau Condie sees people with common medical problems. The primary care provider might be a doctor, physician assistant, nurse practitioner or clinic that are usually involved in your long-term care. A PCP might provide preventive care, treat common medical conditions, identify urgent medical problems and refer you to specialists when necessary. Primary care is usually provided in an outpatient facility but if you are admitted to a hospital your PCP may assist in your care. The most common medical conditions seen by primary care providers are: hypertension, upper respiratory tract infections, depression or anxiety, back pain, arthritis, dermatitis, diabetes, urinary tract infections, etc
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Student in an Organized Health Care Education/Training Program
- Taxonomy Code
- 390200000X
- Type
- Student, Health Care
- Taxonomy Description
- An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
- Bronze 2 Advanced HSA: Aetna network + MinuteClinic + Virtual Primary Care - HMO
- Bronze 4 Advanced: Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Primary Care - HMO
- Bronze S: Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Primary Care - HMO
- Gold 10 Advanced: Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Primary Care - HMO
- Gold 3 Advanced: Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Primary Care - HMO
- Gold S: Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Primary Care - HMO
- Silver 5 Advanced: Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Primary Care - HMO
- Silver 6 Advanced: Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Primary Care - HMO
- Silver S: Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Primary Care - HMO
- Med Benchmark Expanded Bronze Select Copay Plan - HMO
- Med Benchmark Expanded Bronze Standardized Plan - HMO
- Med Benchmark Gold Standardized Plan - HMO
- Med Benchmark Platinum - HMO
- Med Benchmark Platinum Standardized Plan - HMO
- Med Benchmark Silver 6000 Medical Deductible w/Vision - HMO
- Med Benchmark Silver Standardized Plan - HMO
- Med Gold 1500 Medical Deductible - HMO
- Signature Benchmark Gold - HMO
- Signature Benchmark Gold Standardized Plan - HMO
- Signature Benchmark Silver 5900 Medical Deductible - HMO
- Signature Benchmark Silver Standardized Plan - HMO
- Value Benchmark Expanded Bronze Select Copay Plan - HMO
- Value Benchmark Gold Standardized Plan - HMO
- Value Benchmark Platinum - HMO
- Value Benchmark Platinum Standardized Plan - HMO
- Value Benchmark Silver 5900 Medical Deductible - HMO
- Value Benchmark Silver Standardized Plan - HMO
- Value Expanded Bronze 6900 Medical Deductible - HMO
- Value Gold 1500 Medical Deductible - HMO
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Medicare Participation & PECOS Enrollment Status
Beau Condie is registered with Medicare and accepts claims assignment, this means the provider accepts the approved amount for the cost of rendered services as full payment. Participating providers may not charge beneficiaries more than the approved amount for their services. Please keep in mind that beneficiaries still have to pay a coinsurance or copayment amount for a visit or service.
Beau Condie is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.
What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.
Is the provider registered in PECOS? Yes
PECOS PAC ID: 6002235033
What is the PECOS Associate Control ID?
A PAC ID is a unique 10-digit number assigned to an individual or organization healthcare provider in PECOS. The PAC ID is used to link together all the provider information, like tax identification numbers and organizational names. A PAC ID can be connected to multiple Enrollment IDs if an individual or organization has enrolled in PECOS more than once.PECOS Enrollment ID: I20230828002179
What is the Provider Enrollment ID?
The Enrollment ID is a unique alphanumeric 15-digit code assigned to each new provider's PECOS enrollment application. The Enrollment ID is used to link together all the provider enrollment information like enrollment type, state, provider specialty, and reassignment of benefits.Accepts Medicare Assignment? Yes
What does it mean "accepts medicare assignment"?
When a provider accepts Medicare assignment, the provider agrees to be paid directly by Medicare and to accept the payment amount approved by Medicare. Additionally, the provider agrees to not bill patients for more than the Medicare deductible and coinsurance amounts.
A provider who doesn't accept assignment may charge you up to 15% over the Medicare-approved amount. This is known as the limiting charge. You may have to pay this amount, or it may be covered by another insurer.Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes
Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes
Eligible to Order or Refer a Home Health Agency (HHA): Yes
Eligible to Order or Refer Power Mobility Devices: Yes
Find Provider Hospital Affiliations - Privileges
Doctors and physicians must apply for hospital privileges to treat patients at hospitals. Find out if your doctor has privileges to practice at your preferred hospital by using the hospital affiliation information below based on recent medical claims.
Hospital affiliation is identified through self-reporting data, inpatient, outpatient, physician and ancillary service claims linked by the medical claims NPI number and place of service code. Additionally, to further determine provider hospital affiliation the clinician must have provided services to at least three patients on three different dates in the last 12 months. Beau Condie is affiliated with the following medical facilities:
Hospital Name | Address | Phone | Hospital Type | Overall Rating |
---|---|---|---|---|
INTERMOUNTAIN MEDICAL CENTER | 5121 SOUTH COTTONWOOD STREET MURRAY, UT 84107 | (801) 507-7000 | Acute Care Hospitals |
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NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
1 | 2 | 6 | 5 | 0 | 6 | 9 | 4 | 6 | 2 |
Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
2 | 2 | 12 | 5 | 0 | 6 | 18 | 4 | 12 | |
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
2 + 2 + 1 + 2 + 5 + 0 + 6 + 1 + 8 + 4 + 1 + 2 + 24 = 58 | |||||||||
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
60 - 58 = 2 | 2 |
The NPI number 1265069462 is valid because the calculated check digit 2 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 20 providers are registered at the same or nearby location.
NPI | Name / Type | Taxonomy | Address |
---|---|---|---|
1164531935 | DONALD R. FREY M.D. Individual | Family Medicine | 1319 LEAVENWORTH ST OMAHA, NE 68102 (402) 280-5500 |
1174632178 | THOMAS J. HANSEN M.D. Individual | Family Medicine | 1319 LEAVENWORTH ST OMAHA, NE 68102 (402) 280-5500 |
1659480655 | THOMAS P. GUCK PH.D. Individual | Psychologist (Clinical) | 1319 LEAVENWORTH ST OMAHA, NE 68102 (402) 280-5500 |
1992867683 | DR. MICHAEL ALLEN GREENE M.D. Individual | Family Medicine | 1319 LEAVENWORTH ST SUITE 101 OMAHA, NE 68102 (402) 717-0420 |
1326157124 | MARK D. GOODMAN M.D. Individual | Family Medicine | 1319 LEAVENWORTH ST OMAHA, NE 68102 (402) 717-0420 |
1437619541 | JENNA SANDRA WONG DO Individual | Student in an Organized Health Care Education/Training Program | 1319 LEAVENWORTH ST OMAHA, NE 68102 (402) 552-3222 |
1972566768 | LESLIE W VESKRNA MD Individual | Family Medicine | 1319 LEAVENWORTH ST OMAHA, NE 68102 (402) 552-3222 |
1679544159 | DR. SCOTT ALLEN MCPHERSON MD Individual | Family Medicine | 1319 LEAVENWORTH ST OMAHA, NE 68102 (402) 552-3222 |
1649857673 | ANYUN MA Individual | Student in an Organized Health Care Education/Training Program | 1319 LEAVENWORTH ST OMAHA, NE 68102 (402) 552-3222 |
1093385023 | RUBAB ALI MD Individual | Student in an Organized Health Care Education/Training Program | 1319 LEAVENWORTH ST OMAHA, NE 68102 (402) 552-3222 |
1396205571 | JOSEPH W WEES DO Individual | Family Medicine | 1319 LEAVENWORTH ST OMAHA, NE 68102 (402) 552-3222 |
1417697541 | MELISSA DAVISON Individual | Student in an Organized Health Care Education/Training Program | 1319 LEAVENWORTH ST OMAHA, NE 68102 (402) 552-3222 |
1437808086 | ETHAN AARON COOK MD Individual | Student in an Organized Health Care Education/Training Program | 1319 LEAVENWORTH ST OMAHA, NE 68102 (402) 552-3222 |
1144755950 | JOOHEE HAN M.D. Individual | Student in an Organized Health Care Education/Training Program | 1319 LEAVENWORTH ST OMAHA, NE 68102 (402) 552-3222 |
1801537840 | DR. MORGAN ALICE-PAIGE DELOZIER DO Individual | Student in an Organized Health Care Education/Training Program | 1319 LEAVENWORTH ST OMAHA, NE 68102 (415) 552-3222 |
1093418816 | OKOE AKOTO Individual | Student in an Organized Health Care Education/Training Program | 1319 LEAVENWORTH ST OMAHA, NE 68102 (402) 552-3222 |
1184326688 | CALIN DUMITRESCU Individual | Student in an Organized Health Care Education/Training Program | 1319 LEAVENWORTH ST OMAHA, NE 68102 (402) 552-3222 |
1356037154 | BETHANY C PAN Individual | Student in an Organized Health Care Education/Training Program | 1319 LEAVENWORTH ST OMAHA, NE 68102 (402) 552-3222 |
1457053084 | JAIME JO PIEPER DO Individual | Student in an Organized Health Care Education/Training Program | 1319 LEAVENWORTH ST OMAHA, NE 68102 (402) 552-3222 |
1003591892 | DR. JELENA GRIFFIN MD Individual | Student in an Organized Health Care Education/Training Program | 1319 LEAVENWORTH ST OMAHA, NE 68102 (402) 552-3222 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1265069462, enumerated in the NPI registry as an "individual" on March 26, 2020
The provider is located at 1319 Leavenworth St Omaha, Ne 68102 and the phone number is (402) 552-3222
The provider's speciality is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X
The provider has more than 3 years of experience.
The provider might be accepting Accepts: Aetna CVS Health and Select Health. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.
Yes, as of June 20, 2025 the provider is registered in PECOS and is eligible to order health care services or supplies for Medicare patients. If you are a beneficiary the provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.
The practitioner is affiliated to the following hospital(s): INTERMOUNTAIN MEDICAL CENTER. Hospital affiliations are identified through self-reporting data and service claims based on the place of service.
This NPI record was last updated on March 26, 2020. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
NPI Profile data is regularly updated with the latest NPI registry information, if you would like to update or remove your NPI Profile in this website please contact us.