Online Bill Pay

Patient First Name:
Patient Last Name:
Date of Birth://
Payment Amount:

Our new online bill payment system utilizes a secure software program through eProcessing Network.  Please fill in all of the fields below and click the “Continue” button which will take you to an external website where further credit card information will be obtained in a secure environment. 

 

Please enter your payment amount in the form of 123.45 (for $123.45 payment to be processed).

611 West Francis Street Suite 110

North Platte, NE 69101

Phone: 308.534.2532

Fax: 308.534.6615

Email: info@midlandsfamilymed.com

 

 

 

Providing Inpatient and Outpatient

Adult Medicine