Benjamin Fago, MD | |
715 N Saint Joseph Ave, Hastings, NE 68901-4451 | |
(402) 461-5122 | |
Not Available |
Full Name | Benjamin Fago |
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Gender | Male |
Speciality | Emergency Medicine |
Location | 715 N Saint Joseph Ave, Hastings, Nebraska |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1659494268 | NPI | - | NPPES |
P00623703 | Other | RAILROAD MEDICARE | |
10025588700 | Medicaid | NE |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207P00000X | Emergency Medicine | 23561 (Nebraska) | Primary |
Entity Name | The Mary Lanning Memorial Hospital Association |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1356656417 PECOS PAC ID: 4587575550 Enrollment ID: O20101007000817 |
Mailing Address | Practice Location Address |
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Benjamin Fago, MD 715 N Saint Joseph Ave, Hastings, NE 68901-4451 Ph: () - | Benjamin Fago, MD 715 N Saint Joseph Ave, Hastings, NE 68901-4451 Ph: (402) 461-5122 |
Kimberly Elizabeth Vogelsang, M.D. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 715 N Saint Joseph Ave, Hastings, NE 68901 Phone: 402-463-4521 | |
Joshua Ryan Sloan, M.D. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 715 N Saint Joseph Ave, Hastings, NE 68901 Phone: 402-463-4521 |