Lincoln Aesthetic & Reconstructive Surgery Pc | |
2222 S 16th St Ste 300 Lincoln NE 68502-3785 | |
(402) 435-0044 | |
Not Available |
Full Name | Lincoln Aesthetic & Reconstructive Surgery Pc |
---|---|
Speciality | Plastic Surgery |
Location | 2222 S 16th St Ste 300, Lincoln, Nebraska |
Authorized Official Name and Position | Mitchell Henry (PRESIDENT/OWNER) |
Authorized Official Contact | 4024350044 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
---|---|
Lincoln Aesthetic & Reconstructive Surgery Pc 2222 S 16th St Ste 300 Lincoln NE 68502-3785 Ph: (402) 435-0044 | Lincoln Aesthetic & Reconstructive Surgery Pc 2222 S 16th St Ste 300 Lincoln NE 68502-3785 Ph: (402) 435-0044 |
NPI Number | 1356772420 |
---|---|
Provider Enumeration Date | 11/27/2013 |
Last Update Date | 11/27/2013 |
Medicare PECOS PAC ID | 4183852544 |
---|---|
Medicare Enrollment ID | O20140109000668 |
Identifier | Type | State | Issuer |
---|---|---|---|
1356772420 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1223S0112X | Dentist - Oral And Maxillofacial Surgery | 5504 (Nebraska) | Secondary |
208200000X | Plastic Surgery | 18887 (Nebraska) | Primary |
Provider Name | Mitchell J Henry |
---|---|
Provider Type | Practitioner - Plastic And Reconstructive Surgery |
Provider Identifiers | NPI Number: 1215927181 PECOS PAC ID: 5799753430 Enrollment ID: I20040921000688 |
Vitality Dental Health Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 630 N Cotner Blvd, Lincoln, NE 68505 Phone: 402-466-1333 Fax: 402-466-4086 | |
Dental Professionals Of Nebraska, Pc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 5640 South St Ste 1, Lincoln, NE 68506 Phone: 402-489-0787 | |
Rallis & Bonilla Orthodontics, Llc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 3256 Salt Creek Cir, Lincoln, NE 68504 Phone: 402-730-6838 | |
Edgewood Dental Group Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 5310 S 56th St Ste 3, Lincoln, NE 68516 Phone: 402-423-2900 Fax: 402-423-2907 | |