Colleen Kelley Yoon, PA is a medicare enrolled "Physician Assistant" physician in Omaha, Nebraska. Her current practice location is
16901 Lakeside Hills Ct, Omaha, Nebraska. You can reach out to her office (for appointments etc.) via phone at
(402) 717-8000.
Colleen Kelley Yoon is licensed to practice in Nebraska (license number 1750) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1336440585.
Physician's Profile
Full Name | Colleen Kelley Yoon |
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Gender | Female |
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Speciality | Physician Assistant |
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Location | 16901 Lakeside Hills Ct, Omaha, Nebraska |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1336440585
- Provider Enumeration Date: 11/04/2010
- Last Update Date: 04/22/2020
Medicare PECOS Information:
- PECOS PAC ID: 0143417329
- Enrollment ID: I20101214000781
Medical Identifiers
Medical identifiers for Colleen Kelley Yoon such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1336440585 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
207P00000X | Emergency Medicine | 2010035961 (Missouri) | Secondary |
363A00000X | Physician Assistant | 2018015950 (Missouri) | Secondary |
363A00000X | Physician Assistant | 2010035961 (Missouri) | Secondary |
363A00000X | Physician Assistant | 1750 (Nebraska) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Colleen Kelley Yoon is
enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Colleen Kelley Yoon, PA 4750 Hempstead Station Dr, Kettering, OH 45429-5164 Ph: (800) 875-0136 | Colleen Kelley Yoon, PA 16901 Lakeside Hills Ct, Omaha, NE 68130-2318 Ph: (402) 717-8000 |
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