| |
4000 E Campus Loop S Rm 2037 Lincoln NE 68583-0740 | |
(402) 472-8900 | |
(402) 472-0048 |
Full Name | |
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Speciality | Dentist |
Location | 4000 E Campus Loop S Rm 2037, Lincoln, Nebraska |
Authorized Official Name and Position | David Gene Berkheim (EXECUTIVE DIERECTOR) |
Authorized Official Contact | 4024722345 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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4000 E Campus Loop S Rm 2037 Lincoln NE 68583-0740 Ph: (402) 472-8900 | 4000 E Campus Loop S Rm 2037 Lincoln NE 68583-0740 Ph: (402) 472-8900 |
NPI Number | 1780772301 |
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Provider Enumeration Date | 10/10/2006 |
Last Update Date | 01/24/2024 |
Medicare PECOS PAC ID | 7012807498 |
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Medicare Enrollment ID | O20040318000946 |
Identifier | Type | State | Issuer |
---|---|---|---|
1780772301 | NPI | - | NPPES |
576249 | Medicaid | IA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
122300000X | Dentist | (Nebraska) | Primary |
Provider Name | Nagamani Narayana |
---|---|
Provider Type | Practitioner - Oral Surgery |
Provider Identifiers | NPI Number: 1558336115 PECOS PAC ID: 6507758778 Enrollment ID: I20040325000478 |
Provider Name | Jeffrey B Payne |
---|---|
Provider Type | Practitioner - Oral Surgery |
Provider Identifiers | NPI Number: 1508947516 PECOS PAC ID: 4082696364 Enrollment ID: I20040601001443 |
Provider Name | Peter J Giannini |
---|---|
Provider Type | Practitioner - Oral Surgery |
Provider Identifiers | NPI Number: 1508839341 PECOS PAC ID: 7517983844 Enrollment ID: I20051017000596 |
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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 | |